| Regimental number | 4773 |
| Place of birth | Bright |
| Religion | Roman Catholic |
| Occupation | Porter |
| Address | 16 Kipling Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E J Cullen, 16 Kipling Street, North Melbourne, Victoria |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Cyclists Battalion |
| Fate | Effective abroad (still overseas) |
