| Regimental number | 5828 |
| Place of birth | Lambton New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 8 Claremont Street, Rozelle, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, John Green, 5 Claremont Street, Rozelle, New South Wales |
| Enlistment date | 29 March 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 27 August 1918 |
