| Regimental number | 2296 |
| Place of birth | Lowestoft, Suffolk, England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 123 Hope Street, Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Mary Ann Bullen, 123 Hope Street, Fremantle, Western Australia |
| Previous military service | Served as a Sergeant, East Anglian Engineers, British Army. |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Light Trench Mortar Battery |
| Fate | Killed in Action |
| Place of death or wounding | France |
| Age at death | 36 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
