| Regimental number | 603 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 294 Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Rebecca Green, 294 Riley Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 20 December 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 9 |
| AWM Embarkation Roll number | 24/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 2 January 1919 |
