| Regimental number | 5059 |
| Place of birth | Eden New South Wales |
| Religion | Church of England |
| Occupation | Grocer's assistant |
| Address | c/o P Mullampy Howick Street, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Mullampy, Howick Street, Bathurst, New South Wales |
| Enlistment date | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Company Sergeant Major |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 25 September 1919 |
