| Regimental number | 80 |
| Place of birth | Rockley, New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Height | 5' 6" |
| Weight | 148 lbs |
| Next of kin | sister, Miss Lily Cullen, Lithgow, New South Wales |
| Enlistment date | 14 September 1915 |
| Place of enlistment | Rockhampton, Queensland |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 20 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
