| Regimental number | 12 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Chauffeur |
| Address | 20 Station Street, Carlton, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Green, 207 Ross Street, Port Melbourne, Victoria |
| Enlistment date | 1 September 1914 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | Head Quarters 1st Australian Division |
| AWM Embarkation Roll number | 1/42/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A3 Orvieto on 21 October 1914 |
| Date of embarkation incorrectly entered on Embarkation Roll as 22 October 1914. |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Division Headquarters |
| Fate | Returned to Australia 8 October 1918 |
