| Regimental number | 12782 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Painter |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A Walter, Oxford Road, Gunnersbury, London, England |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
