| Regimental number | 3072 |
| Place of birth | Leeds, England |
| Religion | Methodist |
| Occupation | Methodist minister |
| Address | c/o Mrs Anderson, Belgrave Street, Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E M Green, Ebor House, Royal Park Road, Leeds, England |
| Enlistment date | 18 August 1915 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Acting Sergeant |
| Unit name | 17th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
