| Regimental number | 6875 |
| Place of birth | Wickland England |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Balldale, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ellen Tate Roblin, Shiangle, Balldale, New South Wales |
| Enlistment date | 3 November 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 19 April 1919 |