| Regimental number | 5016 |
| Place of birth | Bogantangon Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Jericho, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs. Florence Faulkner, Darwin Street, Jericho, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
