| Regimental number | 1128 |
| Place of birth | Monera New South Wales |
| Religion | Church of England |
| Occupation | Contractor |
| Address | Captain Cook Hotel, Botany, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Mary Ann Falkner, Captain Cook Hotel, Botany, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, D Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Anzac Battalion, Imperial Camel Corps |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |