| Regimental number | 5097 |
| Place of birth | Cheshire England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 3 Pumping Station, Cunderdin, Western Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs E J Green, Dulwich Street, Cannington, Western Australia |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 27 August 1917 |
