| Regimental number | 18778 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Coach painter |
| Address | Naracoorte, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Green, c/o Mrs Mitchell, 'St Erth', Gibson Street, Bowden, South Australia |
| Enlistment date | 31 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 22 August 1919 |
