| Regimental number | 3767 |
| Place of birth | Moliagul Victoria |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | 52 Barkly Street, West Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M Green, 52 Barkly Street, West Brunswick, Victoria |
| Enlistment date | 20 August 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 12 November 1916 |
