| Regimental number | 4208 |
| Place of birth | Islington England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Coolup SW Railway, Coolup, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Mary Ann Roberts, 145 Muswell Avenue, Muswell Hill, London, England |
| Enlistment date | 10 February 1916 |
| Date of enlistment from Nominal Roll | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 11 December 1918 |
