| Regimental number | 50175 |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | c/o Mrs Weir, 10 Albert Street, Yarraville, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, W Wallis, 45 George Street, Port Chalmers, New Zealand |
| Enlistment date | 9 November 1917 |
| Rank on enlistment | Private |
| Unit name | 1st General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 March 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
