| Regimental number | 2123 |
| Place of birth | Harrietville Victoria |
| Religion | Roman Catholic |
| Occupation | Engine driver |
| Address | Harrietville, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Cullen, Harrietville, Victoria |
| Enlistment date | 7 April 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 17 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
