| Regimental number | 2233 |
| Place of birth | Glamorgan South Wales |
| Religion | Methodist |
| Occupation | Horse trainer |
| Address | Rosebank, Canowindra, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Harriet Roberts, 107 Havannah Street, Bathurst, New South Wales |
| Enlistment date | 30 March 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on 11 July 1916 |
| Regimental number from Nominal Roll | 85733 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Special Service |
| Fate | Returned to Australia 6 September 1919 |