| Regimental number | 28659 |
| Place of birth | Hawthorn Victoria |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Middle Park, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs H E Wallis, 116 Armstrong Street, Middle Park, Victoria |
| Enlistment date | 17 May 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 10, Reinforcement 7 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 4 July 1919 |
