| Regimental number | 2865 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Bedstead maker |
| Address | Redfern, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Daughter, Doris Muriel Bullivant, 72 Morehead Street, Redfern, New South Wales |
| Enlistment date | 11 July 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 27 September 1917 |
| Date of death | 16 March 1925 |
| Place of burial | Rookwood Necropolis |
