| Regimental number | 5612 |
| Place of birth | Moonee Ponds Victoria |
| Religion | Church of England |
| Occupation | Foreman |
| Address | 3 Bond Street, South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Maud Green, 34 Elizabeth Street, South Yarra, Victoria |
| Enlistment date | 14 March 1916 |
| Date of enlistment from Nominal Roll | 1 August 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 26 September 1917 |
| Date of death | 23 February 1962 |
| Place of burial | Springvale Cemetery |
