| Regimental number | 365 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Dr Withers Green,4 Wardrobe Place, London Ec, England |
| Enlistment date | 20 August 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, D Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 8 October 1918 |
