| Regimental number | 1729 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o W E Bullen, 315 Eyre Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs E Bullen, 315 Eyre Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Proserpine Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
