| Regimental number | 3903 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. E.E. Roy, 24 Clifton Street Bay Road, North Sydney, New South Wales |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 10 July 1916 |
| Date of death | 5 April 1964 |
| Place of burial | Woronora Crematorium |