| Regimental number | 2482 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Woolsorter |
| Address | 12 Hilton Street, Clifton Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs S Wallace, 12 Hilton Street, Clifton Hill, Melbourne, Victoria |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Osterley on 29 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |