| Regimental number | 1840 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Parkhurst, Narandera, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, F J Roberts, Parkhurst, Narandera, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | Administrative Headquarters |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 57 Date: |