| 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 | 23 May 1917 |
| 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 21 June 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 3 Squadron, Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
