| Regimental number | 877 |
| Religion | Church of England |
| Occupation | Painter |
| Address | Nooranda East |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, J A Williams, Nooranda East |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance |
| AWM Embarkation Roll number | 26/41/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |