| Regimental number | 54031 |
| Place of birth | Botany New South Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | West Kogarah, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs E Roberts, Rawson Avenue, West Kogarah, New South Wales |
| Enlistment date | 17 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Base Depot |
| Fate | Returned to Australia 20 July 1919 |