| Regimental number | 2964 |
| Place of birth | Clunes Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 164 Mitchell Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Roberts, 164 Mitchell Street, East Brunswick, Victoria |
| Enlistment date | 31 May 1916 |
| Date of enlistment from Nominal Roll | 12 June 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Hymettus on 12 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 17 July 1919 |
