| Regimental number | 4612 |
| Place of birth | Pyramid Hill Victoria |
| Religion | Roman Catholic |
| Occupation | Farm hand |
| Address | Railway Station, Mincha, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Walls, Railway Station, Mincha, Victoria |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 11 March 1918 |