| Regimental number | 5987 |
| Place of birth | Parkes New South Wales |
| Religion | Methodist |
| Occupation | Contractor |
| Address | Hill Top, Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Bullock, Hill Top, Parkes, New South Wales |
| Enlistment date | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 3 July 1917 |
