| Regimental number | 1801 |
| Place of birth | Worcester England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Rushworth, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Anne Wallis, 207 Mansell Road, Small Heath, Birmingham, England |
| Enlistment date | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Regimental number from Nominal Roll | 1802 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Effective abroad (still overseas) |