| Regimental number | 3904 |
| Place of birth | Launceston Tasmania |
| Religion | Methodist |
| Occupation | Hardware assistant |
| Address | 46 Canning Street, Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs A Green, 46 Canning Street, Launceston, Tasmania |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 6 August 1919 |
