| Regimental number | 5644 |
| Place of birth | Port Lincoln South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Oakdale PO, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Margaret Roberts, Oakdale PO, South Australia |
| Enlistment date | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 20 December 1917 |
