| Regimental number | 2604 |
| Place of birth | Albert Park Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Culcairn, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Jessie Alice Campbell Waller, c/o Mrs Lowe, 'Lufra', Glen Eira Road, St Kilda, Victoria |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mongolia on 11 July 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 4 March 1919 |
