| Regimental number | 14173 |
| Place of birth | Umtala South Africa |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, R D Roberts, 14 Stirling Street, Kew, Victoria |
| Previous military service | 53rd Infantry |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board No 2 Hospital Ship Kanowna on 25 September 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |