| Regimental number | 621 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Mattress maker |
| Address | 511 Kent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, William Wallis, 511 Kent Street, Sydney, New South Wales |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, E Company |
| AWM Embarkation Roll number | 23/18/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A19 Afric on 18 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
