| Regimental number | 6014 |
| Place of birth | Croydon New South Wales |
| Religion | Methodist |
| Occupation | Salesman |
| Address | Belvedere Jamieson Street, Granville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Green, Belvedere, Jamieson Street, Granville, New South Wales |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 27 August 1917 |
