| Regimental number | 15720 |
| Place of birth | Swansea Tasmania |
| Religion | Church of England |
| Occupation | Shoeing-smith |
| Address | New Norfolk, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A Roberts, New Norfolk, Tasmania |
| Enlistment date | 11 April 1916 |
| Date of enlistment from Nominal Roll | 5 April 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on 20 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 4 July 1919 |
