| Regimental number | 6812 |
| Place of birth | Hawksburn Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Hawksburn, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Miss Violet Faulkner, 12 Lorne Road, Finsbury Park, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
