| Regimental number | 5192 |
| Place of birth | Geraldton Western Australia |
| Religion | Methodist |
| Occupation | Sleeper hewer |
| Address | Ogden Street, Collie, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr E L Roberts, Ogden Street, Collie, Western Australia |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 November 1917 |
