| Regimental number | 3108 |
| Place of birth | Lincolnshire England |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Pinelands via Crows Nest, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Marie Roberts, Pinelands via Crows Nest, Queensland |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 24 August 1918 |
| Miscellaneous details (Nominal Roll) | Discharged as 'medically unfit: gunshot wound to the head'. |
