| Regimental number | 6004 |
| Place of birth | Queensland |
| Religion | Church of England |
| Occupation | Draper |
| Address | Lindum, Wynnum, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Thomas Hughes Fallows, Lindum, Wynnum, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |