| Regimental number | 28658 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Ocean Road, Cottesloe Beach, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Wallis, Ocean Road, Cottesloe Beach, Western Australia |
| Enlistment date | 29 March 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 | Gunner |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia 19 April 1919 |
