| Regimental number | 49 |
| Place of birth | Maryborough Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Emma Faulkner, Burnett Heads, Bundaberg, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: Bar to Military Medal Work on 3 September 1918. Recommendation date: |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
