| Regimental number | 5017 |
| Place of birth | Grafton New South Wales |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Greendale Park, Ulwarra, Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, William Roberts, Ulwarra PO, Ulwarra, Clarence Park, New South Wales |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Acting Sergeant |
| Unit name | 1st Field Company Engineers, Reinforcement 13 |
| AWM Embarkation Roll number | 14/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 10 January 1918 |
