| Regimental number | 9529 |
| Place of birth | Staffordshire England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Torbanlea, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs E Bullock, 10 Hollybush Street, Cradley Heath, Staffordshire, England |
| Enlistment date | 13 September 1917 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, January 1918 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 20 October 1918 |
