| Regimental number | 4909 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Peoples Palace, Pitt Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs F Wallis, 80 Hanley Street, Stroud Green, London |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |