| Regimental number | 3563 |
| Place of birth | Balmain New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 154 Darling Street, Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs J Green, 154 Darling Street, Balmain, New South Wales |
| Enlistment date | 2 November 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 12 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 9 February 1919 |
