| Regimental number | 3017 |
| Place of birth | Tamworth New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Model Farm, Woolamin via Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Violet Angelia May Wall, Model Farm, Woolamin, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A13 Katuna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
