| Regimental number | 2165 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Divinity student |
| Address | Elsternwick, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Ruth Constance Faulkner, 24 Crimea Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 3 Squadron, Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
