| Regimental number | 19 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Fairy Hill PO, Fairy Hill via Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Fanny Australia Bull, Fairy Hill PO, Fairy Hill via Casino, New South Wales |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Lance Corporal |
| Unit name | Machine Gun Company 11 |
| AWM Embarkation Roll number | 24/16/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Fate | No details of fate entered on Nominal Roll |
