| Regimental number | 60103 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Presbyterian |
| Occupation | Clerk and motor driver |
| Address | Queanbeyan, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M E Fallick, Queanbeyan, New South Wales |
| Enlistment date | 27 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 25 September 1919 |
