| Regimental number | 1968 |
| Religion | Protestant |
| Occupation | Motor mechanic |
| Address | c/o Mrs H Watson, 266 Barkly Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, P Wallis, Woodside Street, Clifton Hill, Victoria |
| Enlistment date | 22 September 1914 |
| Rank on enlistment | DM |
| Unit name | 300th Mechanical Transport, Army Service Corps (17th Divisional Ammunition Column (9th Army Service Corps) |
| AWM Embarkation Roll number | 25/99/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |