| Date of birth | |
| Place of birth | Geraldton Western Australia |
| Religion | Church of England |
| Occupation | Customs officer |
| Address | Forrest burgess Timperley, Northam, Western Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Brother, Forrest Burgess Timperley, Northam, Western Australia |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 10th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Promotions |
Major Unit: 10th Light Horse Promotion date: |
| Fate | Returned to Australia |