| Regimental number | 5429 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Gas meter maker |
| Address | 172 Dorcas Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Daisy Frances Wallis, 172 Dorcas Street, South Melbourne, Victoria |
| Enlistment date | 17 February 1916 |
| Date of enlistment from Nominal Roll | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 25 November 1917 |
