| Regimental number | 1133 |
| Place of birth | Bolton England |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, F A Green, 286 Dean Church Lane, Bolton, Lancashire, England |
| Enlistment date | 30 September 1914 |
| Rank on enlistment | Private |
| Unit name | Stationary Hospital 1 |
| AWM Embarkation Roll number | 26/70/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 5 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 9 December 1918 |