| Regimental number | 4582 |
| Date of birth | |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Hardware assistant |
| Address | Hybla, View Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr A Roberts, View Street, Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
2nd Lieutenant Unit: FLY Promotion date: Lieutenant Unit: FLY Sqn 3 Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
