| Regimental number | 689 |
| Place of birth | Blessington Ireland |
| Religion | Roman Catholic |
| Occupation | Grocer |
| Address | Glen Cottage, Surat, Western Line, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Mary Roberts, 8 Watkins Bld.V., Coombe, Dublin, Ireland |
| Enlistment date | 14 December 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on 19 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
