| Regimental number | 55883 |
| Place of birth | Birmingham England |
| Religion | Methodist |
| Occupation | Farmer's assistant |
| Address | Port MacDonnell, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Roberts, 26 Merridale Street, West Wolverhampton, England |
| Enlistment date | 23 March 1918 |
| Rank on enlistment | Private |
| Unit name | General Reinforcements (2nd South Australian) |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |
