| Regimental number | 4104 |
| Place of birth | Kerrisdale Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fairview, Kerrisdale, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Edmund Green, Fairview, Kerrisdale, Victoria |
| Enlistment date | 26 November 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Train |
| Fate | Effective abroad (still overseas) |
