| Regimental number | 30117 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs M S Green, C/o Mrs E J Jenkins, near Newmarket Hotel, Brisbane, Queensland |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 13, Reinforcement 8 |
| AWM Embarkation Roll number | 13/40/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT6 A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 31 May 1919 |