| Regimental number | 6509 |
| Place of birth | Hawthorn Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 59 Patterson Street, Middle Park, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs B B Waller, 59 Patterson Street, Middle Park, Melbourne, Victoria |
| Previous military service | 23rd Battery Australian Field Artillery |
| Enlistment date | 3 May 1915 |
| Rank on enlistment | Sergeant |
| Unit name | Field Artillery Brigade 4, Battery 11 |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 3rd Division Artillery |
| Fate | Returned to Australia 21 July 1917 |
