| Regimental number | 2199 |
| Place of birth | Dulwich Hill New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Mary Street, Longueville, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Roberts, Mary Street, Longueville, New South Wales |
| Enlistment date | 22 June 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | Pioneer Battalion |
| Fate | Returned to Australia 9 September 1916 |
