| Regimental number | 2176 |
| Place of birth | Croydon New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 91 Townshend Road, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Georgina Green, 91 Townshend Road, Subiaco, Western Australia |
| Enlistment date | 22 February 1916 |
| Date of enlistment from Nominal Roll | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 9 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 1 June 1919 |