| Regimental number | 10219 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Moulder |
| Address | 22 Gardin Street, Alexandria, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs C H Sullivan, 2 Bannister Lane, Ultimo, New South Wales |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Reinforcement 2 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 4 January 1919 |