| Regimental number | 6613 |
| Place of birth | Newcastle New South Wales |
| Religion | Baptist |
| Occupation | Electrical mechanic |
| Address | Campsie, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M E Roberts, 'Vectis', Hardy Street, South Ashfield, New South Wales |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 25 September 1919 |
