| Regimental number | 4812 |
| Place of birth | Lancefield Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Jane Waddell, Nilma, Victoria |
| Enlistment date | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Light Horse Details |
| Fate | Returned to Australia 14 March 1919 |