| Regimental number | 412 |
| Religion | Methodist |
| Occupation | State school teacher |
| Address | Store Creek, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Eliza Roberts, 17 Sale Street, North Orange, New South Wales |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
