| Regimental number | 4111 |
| Place of birth | Charters Towers Queensland |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Perth GPO, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Elizabeth Roberts, 42 Leviathan Street, Boulder City, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
