| Regimental number | 867 |
| Place of birth | Gloucestershire England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Gateshead via Charlestown, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Hannah E Bertha Roberts, Gateshead via Charlestown, Newcastle, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, C Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 11 May 1919 |
