| Regimental number | 2251 |
| Religion | Methodist |
| Occupation | Ironmonger |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Elizabeth Roberts, 31 Zebina Street, Mount Lawley, Western Australia |
| Enlistment date | 17 January 1916 |
| Date of enlistment from Nominal Roll | 5 May 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 1 June 1919 |