| Regimental number | 5728 |
| Place of birth | Brighton Victoria |
| Religion | Baptist |
| Occupation | Salesman |
| Address | Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs S Roberts, 12 Bent Street, Brighton, Victoria |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 12 May 1919 |
