| Regimental number | 1170 |
| Place of birth | Auckland New Zealand |
| Religion | Protestant |
| Occupation | Electrician |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Father, J Robertson, Ipswich, Queensland |
| Enlistment date | 19 August 1914 |
| Rank on enlistment | Private |
| Unit name | Stationary Hospital 1 |
| AWM Embarkation Roll number | 26/70/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 5 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 11 April 1916 |
