| Regimental number | 4594 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Cycle mechanic |
| Address | McGregor Terrace, Rosewater, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S Wallace, McGregor Terrace, Rosewater, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 189 Date: |