| Regimental number | 249 |
| Place of birth | Warooka South Australia |
| Religion | Methodist |
| Occupation | Painter |
| Address | Exeter, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Elizabeth Waller, Exeter, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, G Company |
| AWM Embarkation Roll number | 23/27/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A11 Ascanius on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
