| Regimental number | 1076 |
| Place of birth | Bega New South Wales |
| Religion | Church of England |
| Occupation | Dairyman |
| Address | Candelbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Roberts, Bimbayah, Candelbo, New South Wales |
| Enlistment date | 11 April 1916 |
| Date of enlistment from Nominal Roll | 1 July 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 1 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 10 December 1918 |
