| Regimental number | 648 |
| Place of birth | Heathcote Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tatong, Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | H.J. Wallace, Tatong, Benalla, Victoria |
| Enlistment date | 15 August 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A43 Barunga on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
