| Regimental number | 4072 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Rigger |
| Address | Salisbury Plains, Townsville, Queensland |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs. Sullivan, 28 Bellevue Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
