| Regimental number | 3017 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Susan Wallace, Ganges Street, West End, Brisbane, Queensland |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A43 Barunga on 26 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | amd Train |
| Fate | Returned to Australia 15 June 1919 |
