| Regimental number | 5701 |
| Place of birth | Bushey England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 96 School Lane, Bushey, Herts, England |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Green, 96 School Lane, Bushey, Herts, England |
| Enlistment date | 19 January 1916 |
| Date of enlistment from Nominal Roll | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 12 June 1919 |
