| Regimental number | 4738 |
| Place of birth | Mansfield, Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Barwite, Victoria |
| Age at embarkation | 32 |
| Next of kin | Father, W Bullock, Mansfield P O, Mansfield, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |