| Regimental number | 5970 |
| Place of birth | Driffield England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Kelmscott, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, F Ullyott, 59 Mount Street, Perth, Western Australia |
| Enlistment date | 13 January 1916 |
| Date of enlistment from Nominal Roll | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Discharged 22 June 1917 |
