| Regimental number | 3111 |
| Place of birth | Dungog New South Wales |
| Religion | Church of England |
| Occupation | Drover |
| Address | Hamilton, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Green, 9 Gulliver Street, Hamilton, Newcastle, New South Wales |
| Previous military service | 16th Infantry |
| Enlistment date | 11 July 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
