| Regimental number | 9471 |
| Place of birth | Drummoyne New South Wales |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | 30 Alexander Street, Drummoyne, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Elizabeth Roberts, 30 Alexander Street, Drummoyne, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Train Reinforcements 14 |
| AWM Embarkation Roll number | 25/14/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 17th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 135 Date: |