| Regimental number | 2176 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Emerald, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Mary Green, 152 Cleveland Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
