| Regimental number | 5837 |
| Place of birth | Tenterfield New South Wales |
| Religion | Methodist |
| Occupation | Grazier |
| Address | Woodenbong via Kyogle, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs C J Waller, Woodenbong via Kyogle, New South Wales |
| Enlistment date | 5 September 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
