| Regimental number | 4116 |
| Place of birth | Uralla New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | West End, Uralla, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, T Faulkner, West End, Uralla, New South Wales |
| Enlistment date | 9 September 1915 |
| Date of enlistment from Nominal Roll | 7 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Effective abroad (still overseas) |