| Place of birth | Orange New South Wales |
| Religion | Presbyterian |
| Occupation | Medical practitioner |
| Address | Grenfell, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs S J Wallace, Greenwich Road, Greenwich, New South Wales |
| Enlistment date | 1 August 1918 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 24 July 1919 |
