| Regimental number | 4391 |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Oxley Island, Manning River, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Walter Job Waller, Oxley Island, Manning River, New South Wales |
| Enlistment date | 24 July 1916 |
| Date of enlistment from Nominal Roll | 18 July 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 24 December 1918 |
