| Regimental number | 12738 |
| Place of birth | Pitt Town, New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | Narellan, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Height | 5' 7.25" |
| Weight | 152 lbs |
| Next of kin | Mother, Mrs E Roberts, Narellan, New South Wales |
| Previous military service | Served for 12 months in the Rifle Club. |
| Enlistment date | 18 May 1916 |
| Date of enlistment from Nominal Roll | 26 April 1916 |
| Place of enlistment | Dubbo, New South Wales |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 21 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Bakery |
| Fate | Returned to Australia 11 May 1919 |
| Other details | Medals: British War Medal, Victory Medal |
| Sources | NAA: B2455, ROBERTS Bertie William |