| Regimental number | 1992 |
| Religion | Roman Catholic |
| Occupation | Salesman |
| Address | Latrobe Street, Warrnambool, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Agatha Green, Latrobe Street, Warrnambool, Victoria |
| Enlistment date | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
