| Regimental number | 13970 |
| Place of birth | Altrincham England |
| Religion | Church of England |
| Occupation | Sanitary inspector |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs A T Roberts, 41 Fawkner Street, St Kilda, Victoria |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Warrant Officer |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 21 December 1918 |