| Regimental number | 39 |
| Religion | Christian Science |
| Occupation | Cabinetmaker |
| Address | 15 Howard Street, West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Daniel Fallshaw, 15 Howard Street, West Melbourne, Victoria |
| Enlistment date | 1 September 1914 |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers |
| AWM Embarkation Roll number | 14/21/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on 21 October 1914 |
| Miscellaneous details (Nominal Roll) | see other |
