| Regimental number | 475 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Oolbun via Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Roberts, Union Street, Gawler South, South Australia |
| Enlistment date | 3 July 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 3, Reinforcement 7 |
| AWM Embarkation Roll number | 24/8/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Regimental number from Nominal Roll | 475A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 4 July 1919 |