| Regimental number | 1967 |
| Place of birth | Killorglin Ireland |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 38 Renny Street, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Ivy Maxwell Sullivan, 38 Renny Street, Paddington, New South Wales |
| Enlistment date | 20 March 1915 |
| Date of enlistment from Nominal Roll | 16 March 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A58 Kabinga on 12 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Returned to Australia 28 January 1919 |
