| Regimental number | 2650 |
| Place of birth | Stepney South Australia |
| Religion | Baptist |
| Occupation | Dairyman |
| Address | Magill, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. Ellen Wallis, Vine Street, Magill, South Australia |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A13 Katuna on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 15 May 1919 |
