| Regimental number | 16949 |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss Forence Maud Wallis, 142 Charles Street, Footscray, Victoria |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Regimental number from Nominal Roll | 16950 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Field Ambulance |
| Fate | Returned to Australia 10 July 1919 |