| Regimental number | 2243 |
| Place of birth | North Adelaide South Australia |
| Religion | Church of England |
| Occupation | Tailor |
| Address | 234 Subiaco Road, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Frederick Wallis, c/o H M Edwards, York, Western Australia |
| Enlistment date | 26 July 1915 |
| Date of enlistment from Nominal Roll | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 1 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 31 March 1919 |
