| Regimental number | 2402 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Lala Griffiths, Avenue, Ryde, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs mary Elizabeth Waller, Belbedere House, Darkmouth Road, Forest Hill, London, England |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A56 Palermo on 18 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 5 July 1916 |
