| Regimental number | 1907 |
| Place of birth | Tweed Heads New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tweed Heads, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Sarah Sullivan, Tweed Heads PO, Tweed Heads, New South Wales |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on 22 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 1 August 1919 |
| Other details | Medals: British War Medal, Victory Medal |
