| Regimental number | 5065 |
| Place of birth | Pendyck Pendyck |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Neerim, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Ruby May McCullough, Neerim PO, Neerim, Victoria |
| Enlistment date | 21 February 1916 |
| Date of enlistment from Nominal Roll | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 31 March 1919 |
