| Regimental number | 2005 |
| Place of birth | Breadalbane New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Breadalbane, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Brother, Michael Joseph Sullivan, Culcairn, New South Wales |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 30 January 1918 |
