| Regimental number | 4529 |
| Place of birth | Newport England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kulpara, via Melton, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Martha Elizabeth Sully, Outfall Cottage, St Bride's, Wentlodge, near Newport, Mon, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
