| Regimental number | 1802 |
| Place of birth | Cargo New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Cargo, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Helen Roberts, 'Cargo', Cargo via Orange, New South Wales |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | Camel Corps November 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 12 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 15 June 1919 |
