| Regimental number | 9140 |
| Place of birth | Broken Hill New South Wales |
| Religion | Congregational |
| Occupation | Clerk |
| Address | Summer Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, G E Roberts, 52 Nowranie Street, Summer Hill, New South Wales |
| Enlistment date | 5 May 1915 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London, and Special Reinforcements (Feb 1915 - March 1916) |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A63 Karoola on 1 December 1915 |
| Regimental number from Nominal Roll | 9149 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Casualty Clearing Station |
| Fate | Returned to Australia 27 April 1919 |