| Regimental number | 4404 |
| Place of birth | Elmore Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Helen Green, Michie Street, Elmore, Victoria |
| Enlistment date | 24 September 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 23 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 22 December 1918 |
