| Regimental number | 21921 |
| Place of birth | Longwarry Victoria |
| Religion | Roman Catholic |
| Occupation | Electrical engineer |
| Address | 1 Lyell Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs R Fawkner, Bunyip, Gippsland, Victoria |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Head-Quarters |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 16 June 1919 |
