| Regimental number | 3005 |
| Place of birth | Middlesborough England |
| Religion | Church of England |
| Occupation | Cook |
| Address | 142 Alfred Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Agnes May Roberts, 142 Alfred Street, North Sydney, New South Wales |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 31 January 1918 |
