| Regimental number | 2152 |
| Place of birth | Taralga New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Taralga, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, Florance Sullivan, Taralga, New South Wales |
| Enlistment date | 4 April 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 23 March 1919 |