| Regimental number | 1112 |
| Place of birth | Campsie New South Wales |
| Religion | Roman Catholic |
| Occupation | Butcher |
| Address | c/o E O'Sullivan, Beamish Street,Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Miss Catherine O'Sullivan, Beamish Street, Campsie, New South Wales |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 17 August 1916 |
