| Regimental number | 5120 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 16 Cobden Street, Kew, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Ida Roberts, 16 Cobden Street, Kew, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 21 July 1917 |
