| Regimental number | 13645 |
| Place of birth | Nambour Queensland |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Nambour, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R Roberts, Blackall Terrace, Nambour, North Coast Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Died of wounds |
| Age at death from cemetery records | 23 |
| Place of burial | Warloy-Baillon Communal Cemetery Extension (Plot VIII, Row F, Grave No. 6), France |
| Panel number, Roll of Honour, Australian War Memorial | 183 |
| Miscellaneous information from cemetery records | Parents: Robert and Betsey ROBERTS, Nambour, Queensland |