| Regimental number | 22552 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Newstead, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, D Sullivan, Newstead PO, Newstead, Victoria |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Reinforcement 1 |
| AWM Embarkation Roll number | 13/133/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
