| Religion | Church of England |
| Occupation | Clergyman |
| Address | St Paul's Rectory, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs D Green, 28 Great Suffolk Street, Barough, London SE, England |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | 1st Light Horse Brigade, Headquarters |
| AWM Embarkation Roll number | 10/1/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A3 Orvieto on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
