| Regimental number | 2264 |
| Place of birth | Braidwood New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Mongarlowe, via Braidwood, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Jessie Wallace, Mongarlowe, via Braidwood, New South Wales |
| Enlistment date | 2 October 1915 |
| Date of enlistment from Nominal Roll | 22 October 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 17 August 1916 |
| Other details | Medals: British War Medal, Victory Medal |
