| Regimental number | 2374 |
| Place of birth | Tambaroora New South Wales |
| Religion | Roman Catholic |
| Occupation | Teacher |
| Address | Edward Street, Morpeth, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs C A Roberts, 124 Crystal Street, Petersham, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 120 Date: |