| Regimental number | 6430 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Motor-car driver |
| Address | Bent Street, Toowong, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Ester Waller, 24 Mulhern Road, Holloway, London, England |
| Enlistment date | 11 April 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/42/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 12 May 1918 |
