| Regimental number | 14964 |
| Place of birth | Annandale New South Wales |
| Religion | Roman Catholic |
| Occupation | Engineer |
| Address | Clyde Bank, Alexander Road, Glebe Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Jessie Cullen, Clyde Bank, Alexander Road, Glebe Point, Sydney, New South Wales |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Driver |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 19 February 1919 |