| Regimental number | 4619 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Prospect, South Australia |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Janet Wallace, c/o Mrs Bland, Argyle Street, Prospect, South Australia |
| Enlistment date | 15 January 1915 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |