| Regimental number | 3754 |
| Place of birth | Santelle United States Of America |
| Occupation | Labourer |
| Address | Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Brother, S A Waller, Market Street, Oaklands, California, USA |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/69/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Regimental number from Nominal Roll | 3754A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Died of wounds |
| Place of burial | Mont Huon Military Cemetery (Plot V, Row H, Grave 6A), Le Treport, France |
| Panel number, Roll of Honour, Australian War Memorial | 156 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
