| Regimental number | 4765 |
| Religion | Congregational |
| Occupation | Clerk |
| Address | c/o Mrs L Robertson, 22 Fourth Avenue, St Peters, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Lily Robertson, 22 Fourth Avenue, St Peters, South Australia |
| Enlistment date | 29 March 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 15 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 23 March 1919 |