| Regimental number | R274 |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Port Fairy Road, Penshurst, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, William Waller, Port Fairy Road, Penshurst, Victoria |
| Enlistment date | 12 January 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Regimental number from Nominal Roll | 274 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 15 April 1918 |