| Regimental number | 6745 |
| Place of birth | Nathalia Victoria |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Matong PO, Matong via Junee, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, G Roberts, 42 Kent Street, Burwood, Victoria |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 4, Battery 12 |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
