| Regimental number | 3630 |
| Place of birth | Hobart Tasmania |
| Religion | Roman Catholic |
| Occupation | Commission agent |
| Address | Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs F M Cullen, 17 Skene Street, Bendigo, Victoria |
| Enlistment date | 14 May 1917 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/74/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 24 December 1918 |
