| Regimental number | 1719 |
| Place of birth | Bundarra New South Wales |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | Fitzroy Street, Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Alpha John Ernest Sullivan, Bellevue, Bundarra, New South Wales |
| Enlistment date | 20 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 21 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |
