| Regimental number | 13181 |
| Place of birth | Wrexham North Wales |
| Religion | Church of England |
| Occupation | Farmer and mill hand |
| Address | Fimiston, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, J T Roberts, Welford Farm, Wrexham, North Wales |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 8 August 1919 |