| Regimental number | 6728 |
| Place of birth | Cootamundra New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tara, Springdale via Temora, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M A Cullen, Guernsly Milford Street, Hurlstone Park, Sydney, New South Wales |
| Enlistment date | 19 June 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 21 December 1918 |
