| Regimental number | 5802 |
| Place of birth | Maryborough Queensland |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Childers, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M A Cullum, Childers, Queensland |
| Enlistment date | 28 January 1915 |
| Date of enlistment from Nominal Roll | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 19 February 1919 |
