| Regimental number | 111 |
| Place of birth | Devonshire England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Rowlands, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Rona Robertson, 58 Oak Cottages, Law Union Lane, Torquay, Devon, England |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, A Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 25 September 1919 |
