| Regimental number | 1008 |
| Place of birth | Llanarmon Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Thirroull, 339 Bourke Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Mrs E Roberts, 5 Garden Terrace, Danbigh, North Wales |
| Enlistment date | 10 September 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, G Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 18 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 3 February 1915 |
