| Regimental number | 9998 |
| Place of birth | Coopernook New South Wales |
| Religion | Church of England |
| Occupation | Jackeroo |
| Address | 47 Arcadia Road, Glebe Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M A Walters, 47 Arcadia Road, Glebe Point, Sydney, New South Wales |
| Enlistment date | 20 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 13 |
| AWM Embarkation Roll number | 13/29/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Veterinary Corps |
| Fate | Returned to Australia 8 May 1919 |
