| Regimental number | 1012 |
| Religion | Baptist |
| Occupation | Painter |
| Address | ... |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Annie Ruby Bullock, George Street, Thebarton, South Australia |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 16th Battalion, F Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Troopship A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
