| Regimental number | 6273 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Hartville, Greig Street, Seddon, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | L Faulkner, 13 White Road, Smallheath, Birmingham, England |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Head-Quarters |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Gunner |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
