| Regimental number | 4843 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Miss H Roberts, 16 Barrack Street, Manchester, England |
| Enlistment date | 9 December 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
