| Regimental number | 3617 |
| Place of birth | Bulahdelah New South Wales |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | Manly Depot, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Robert Roberts, Port Macquarie, New South Wales |
| Enlistment date | 2 March 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 23 June 1919 |
