| Regimental number | 68702 |
| Place of birth | Benalla Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A L Wagner, Lawry Place, Benalla, Victoria |
| Previous military service | 2nd Battalion 57th Infantry |
| Enlistment date | 5 June 1918 |
| Rank on enlistment | Private |
| Unit name | 14th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |