| Regimental number | 593 |
| Place of birth | Grass Flat Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Gnarwarre, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Samuel Waller, Hillside, Curban, New South Wales |
| Enlistment date | 11 May 1916 |
| Date of enlistment from Nominal Roll | 25 May 1916 |
| Rank on enlistment | Private |
| Unit name | Anzac Cyclist Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 12/2/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 5 April 1919 |
