| Regimental number | 2171 |
| Place of birth | Peterborough England |
| Religion | Church of England |
| Occupation | Cook |
| Address | 41 Unley Road, Unley, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, J Wall, Witherley Kennels, Atherstone, Leicestershire, England |
| Enlistment date | 4 May 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company June 1917, General Reinforcements |
| AWM Embarkation Roll number | 24/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
