| Regimental number | 11214 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Williams, 620 Skipton Street, Ballarat, Victoria |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Mechanic |
| Unit name | 3rd Division Ambulance Workshop |
| AWM Embarkation Roll number | 26/107/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |