| Regimental number | 7004 |
| Place of birth | Pinjarra Western Australia |
| Religion | Church of England |
| Occupation | Engine cleaner |
| Address | Camp Road, Pinjarrah, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, William Green, Camp Road, Pinjarrah, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/33/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Pinjarra Cemetery |