| Regimental number | 3076 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Isabel Wallace, Glenrock Station via Cooktown, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Cooktown Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
