| Regimental number | 4664 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Mechanical dentist |
| Address | Clifton, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. Clara Roberts, William Street, Redfern, Sydney, New South Wales |
| Enlistment date | 12 March 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |