| Regimental number | 1122 |
| Place of birth | London England |
| Religion | Methodist |
| Occupation | Dairyman |
| Address | Flaxton, Palmwoods, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Constance Waller, c/o Mrs Cottle, Hobart House, Harcourt Street, Teneriffe, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A9 Shropshire on |
| Regimental number from Nominal Roll | 1122A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
