| Regimental number | 4203 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 33 Premier Street, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Violet Cerise Faulkner, 42 Robert Street, Marrickville, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, 34th Reinforcement |
| AWM Embarkation Roll number | 10/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
