| Regimental number | 57907 |
| Place of birth | Georgetown Queensland |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | c/o Mrs Roberts, Lay Street, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M A Roberts, Lay Street, West End, Townsville, Queensland |
| Previous military service | 27th ALH |
| Enlistment date | 15 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th General Service Reinforcements |
| Fate | Returned to Australia 4 December 1918 |
