| Regimental number | 3053 |
| Place of birth | Croydon England |
| Religion | Church of England |
| Occupation | Mill hand |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J Faulkner, 41 Appa Road, Croydon, England |
| Enlistment date | 23 June 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 31 March 1919 |