| Regimental number | 58916 |
| Place of birth | Lithgow New South Wales |
| Religion | Church of England |
| Occupation | Glazier |
| Address | Erskineville, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C L Wallace, 2 Pleasant Avenue, Erskineville, New South Wales |
| Previous military service | 34th Infantry |
| Enlistment date | 15 May 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 12 July 1919 |
