| Regimental number | 3659 |
| Place of birth | Trafalgar Victoria |
| Religion | Methodist |
| Occupation | Driver |
| Address | Strathalbyn, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs. Eddie Jane Faulkener, Trafalgar, Victoria |
| Enlistment date | 12 June 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 15 May 1919 |
| Other details | Medals: British War Medal, Victory Medal |
