| Regimental number | 5862 |
| Place of birth | Perth Western Australia |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Address | North Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Lucina Green, Swan Street, North Fremantle, Western Australia |
| Enlistment date | 19 April 1916 |
| Date of enlistment from Nominal Roll | 14 April 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Effective abroad (still overseas) |