| Regimental number | 37711 |
| Place of birth | Fremantle Western Australia |
| Religion | Methodist |
| Occupation | Orchardist |
| Address | Walliston, Western Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Kate Winifred Wallis, Walliston, Upper Darling Range Railway, Western Australia |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 30 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
