| Regimental number | 2168 |
| Place of birth | Berry New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr Adam Ulrick, Ulmarra, Clarence River, New South Wales |
| Enlistment date | 28 April 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 21 June 1919 |
