
| Place of birth | Yarrawonga Victoria |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Auburn, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E F O'Sullivan, 293 Church Street, Richmond, Victoria |
| Previous military service | A Army Medical Corps |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Gaika on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: MED 9 Fld Amb Promotion date: |
| Fate | Returned to Australia |