| Regimental number | 6852 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Erskineville, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs Annie Roles, 58 Albert Street, Erskineville, Sydney, New South Wales |
| Enlistment date | 7 May 1917 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 7 June 1918 |
