| Regimental number | 2103 |
| Place of birth | Merewether New South Wales |
| Religion | Roman Catholic |
| Occupation | Surveyor |
| Address | PO, Greta, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, James Fallins, Kahibah, Charlestown, New South Wales |
| Previous military service | 14th Infantry |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan MacGillivray on 3 May 1916 |
| Regimental number from Nominal Roll | ENG.PB1R3 |
| Rank from Nominal Roll | Private |
