| Regimental number | 3932 |
| Place of birth | Gympie Queensland |
| Religion | Church of England |
| Occupation | Seaman |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Green, Deep Creek, Gympie, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
