| Regimental number | 3491 |
| Place of birth | Mitchell Queensland |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Tamoo Station, Mitchell, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Roberts, Tamoo Station, Mitchell, Queensland |
| Enlistment date | 6 July 1917 |
| Date of enlistment from Nominal Roll | 30 June 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |
