| Regimental number | 1411 |
| Religion | Church of England |
| Occupation | Miner |
| Address | GPO, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Brother, W J Roberts, Walcha, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
