| Regimental number | 2276 |
| Place of birth | Capetown South Africa |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gibbs Street, Valley, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Aunt, Mrs Mary Green, c/o Mrs Hedgers, 3 Russell Street, Cape Town, South Africa |
| Enlistment date | 4 January 1916 |
| 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 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 25 August 1917 |
