| Regimental number | 1896 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Packer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Polly Roberts, No 2 Kerfield Place, Kerfield Crescent, London, Ec, England |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| 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 | 41st Battalion |
| Fate | Returned to Australia 15 February 1918 |
