| Regimental number | 2564 |
| Place of birth | Eltham Victoria |
| Religion | Church of England |
| Occupation | Carrier |
| Address | 138 Head Street, Elsternwick, Victoria |
| Marital status | Married |
| Age at embarkation | 50 |
| Next of kin | Wife, Mrs Elizabeth H Falconer, 138 Head Street, Elsternwick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Reinforcement 3 |
| AWM Embarkation Roll number | 28/2/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Remount Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
