| Regimental number | 39696 |
| Place of birth | Haddon Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs A M Roberts, 49 Riversdale Road, Camberwell, Victoria |
| Enlistment date | 2 January 1918 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 35 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 22 August 1919 |
