| Regimental number | 6596 |
| Place of birth | Appila South Australia |
| Religion | Methodist |
| Occupation | Well borer |
| Address | Laura, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, T E Wallis, Solomontown, Port Pirie, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
