| Regimental number | 3748 |
| Religion | Methodist |
| Occupation | Surveyor |
| Address | Fortman, West Esplanade, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Lily Fallick, Fortman, West Esplanade, Manly, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | 7th Field Company Engineers, Reinforcement 1 |
| AWM Embarkation Roll number | 14/26/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Regimental number from Nominal Roll | 4 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Mining Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
