| Regimental number | 13976 |
| Place of birth | Alsager England |
| Religion | Methodist |
| Occupation | Teacher |
| Address | Croxton, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J W Ullyatt, 7 McFarlane Street, Croxton, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
