| Regimental number | 2082 |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Lower Barrington, Tasmania |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Jas Sullivan, Lower Barrington, Tasmania |
| Enlistment date | 9 February 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 17 April 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
