| Regimental number | 809 |
| Place of birth | Bowenvale Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Chiltern Valley via Rutherglen, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, A Roberts, Chiltern Valley via Rutherglen, Victoria |
| Enlistment date | 30 May 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 15 |
| AWM Embarkation Roll number | 24/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Regimental number from Nominal Roll | 809A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 22 July 1919 |
