| Regimental number | 16174 |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Middle Park, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, J Roberts, 227 Page Street, Middle Park, Victoria |
| Enlistment date | 25 October 1915 |
| Date of enlistment from Nominal Roll | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 12 June 1919 |
