| Religion | Congregational |
| Occupation | Medical practitioner |
| Address | Summer Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, E Roberts, 26 Wellesley Street, Summer Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |