| Regimental number | 682 |
| Place of birth | Twickenham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 16 Norman Street, Hyde Park, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Maria Jane Roberts, 16 Norman Street, Hyde Park, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 14, Reinforcement 12 |
| AWM Embarkation Roll number | 24/19/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
