| Regimental number | 3304 |
| Place of birth | Halifax England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 34 Anketell Street, Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs E Green, 34 Anketell Street, Coburg, Victoria |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 21 July 1917 |
