| Regimental number | 1703 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | O'Sullivan's Road, Glen Waverley, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Lewis Ajani O'Sullivan's Road, Glen Waverley, Victoria |
| Enlistment date | 30 November 1914 |
| Date of enlistment from Nominal Roll | 30 November 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 14 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 29 July 1915 |
