| Regimental number | 1040 |
| Place of birth | Clare South Australia |
| Religion | Methodist |
| Occupation | Motor mechanic |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Ellen Roach, 'White Hut', Clare, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 4 Squadron, B Flight |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
