| Regimental number | 1677 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Grocer |
| Address | mount Leyshon Road, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Sarah Jane Roberts, mount Leyshon Road, Charters Towers, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/12/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
