| Regimental number | 2168 |
| Religion | Church of England |
| Occupation | Mariner |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Ellen Lewis Hoist Green, Brightlingsea, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on |
| Fate | No details of fate entered on Nominal Roll |