| Regimental number | 2510 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Boilermaker and shipbuilder |
| Address | 34 Wells Street, Annandale, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Ada Australia Walters, 34 Wells Street, Annandale, Sydney, New South Wales |
| Enlistment date | 24 April 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
