| Regimental number | 21117 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Wickham Terrace, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, F J Waller, 124 Brewery Road, York Road, King's Cross, London, England |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 35th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 2 March 1919 |
