| Regimental number | 738 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Veterinary assistant |
| Address | Yass, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, W T Waller, 20 John Street, Adelphi, London, England |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Mobile Veterinary Section |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A58 Kabinga on 8 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd AVC |
| Fate | Returned to Australia 20 November 1918 |
