| Regimental number | 1822 |
| Place of birth | Wymatta New Zealand |
| Religion | Church of England |
| Occupation | Prospector |
| Address | Cunnamulla, Queensland |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Brother, William Sullivan, Wagga, New South Wales |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 12th 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 |