| Regimental number | 14092 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Rushcutter's Bay, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ruby S C J Green, 97 Drummond Street, Carlton, Victoria |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Motor Transport Driver |
| Unit name | 3rd Division Ambulance Workshop, 8th Reinforcement |
| AWM Embarkation Roll number | 26/107/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Returned to Australia 16 July 1917 |
