| Regimental number | 14485 |
| Place of birth | Coburg Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Kensington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Gertrude Ullett, Garryowen, Balfour Road, Kensington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Australian Wireless Squadron 1, Reinforcement 3 |
| AWM Embarkation Roll number | 22/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Signal Squadron Wireless |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
