| Regimental number | 1170 |
| Place of birth | Jarrandale Western Australia |
| Religion | Church of England |
| Occupation | Stockman |
| Address | c/o Levi Green, Coolup, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Levi Green, Coolup, Western Australia |
| Enlistment date | 4 May 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, D Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on 29 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 24 June 1916 |
