| Regimental number | 2736 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Potter |
| Address | Belmont PO, Belmont, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Ada Gertrude McCullock, Belmont PO, Belmont, Western Australia |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 28 February 1919 |
