| Regimental number | 2775 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | c/o Mr E L Jones, Urandgial, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Miss Minnie Roberts, Hargreaves Street, Bendigo, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |