| Regimental number | 2155 |
| Place of birth | Albany Western Australia |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Jane Green, York Street, Albany, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
