| Regimental number | 6133 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Blackboy Hill, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Matilda Roberts, 58 Bourke Street, K1goorlie, Western Australia |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 4 June 1919 |
