| Regimental number | 4823 |
| Place of birth | Leeds South Australia |
| Religion | Church of England |
| Occupation | Builder's labourer |
| Address | 23 McManus Street, McMahon's Point North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs S Roberts, 4 Milsons Street, Milson's Point, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 27 August 1917 |