| Regimental number | 5101 |
| Place of birth | Sydney New South Wales |
| Occupation | Stonemason |
| Address | c/o Mrs Baker Perry Street, Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W Wallace c/o Mrs Baker, Perry Street, Mudgee, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 15 September 1918 |
