| Regimental number | 6108 |
| Place of birth | Cootamundra New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Jane Roffe, Cootamundra, New South Wales |
| Enlistment date | 30 August 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 9 August 1919 |
