| Regimental number | 18740 |
| Place of birth | St Arnaud Victoria |
| Religion | Church of England |
| Occupation | Assistant town clerk |
| Address | St Arnaud, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, R Faulkner, Clifton Villa, Canterbury Street, St Arnaud, Victoria |
| Previous military service | 73rd Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
