| Regimental number | 3236 |
| Place of birth | Harrietville Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | East Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Ellen Jane Tulloch, 2 Gillman Street, East Malvern, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Effective abroad (still overseas) |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 120 Date: |