| Regimental number | **4136 |
| Place of birth | Carnarvon North Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mrs M M L Roberts, Toothill Terrace, Carnarvon, North Wales, England |
| Enlistment date | 26 January 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 4 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 20 March 1915 |
| Regimental number from Nominal Roll | 4136 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 16 March 1919 |
