| Regimental number | 12720 |
| Place of birth | Castlemaine Victoria |
| Religion | Church of England |
| Occupation | Jeweller |
| Address | 74 Outram Street, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E Green, 74 Outram Street, Perth, Western Australia |
| Previous military service | 18th A L H |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Effective abroad (still overseas) |
