| Regimental number | 1684 |
| Place of birth | Pembroke South Wales |
| Religion | Baptist |
| Occupation | Miner |
| Address | Meruin Crescent, Wonthaggi, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs A Roberts, Sutton Hill, Portfieldgate, Haverford West, Pembrokeshire, South Wales |
| Enlistment date | 7 January 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 8 November 1919 |