| Regimental number | 3430 |
| Place of birth | Brisbane Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Tweed Heads, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E M S Cullen, Tweed Heads, Tweed River, New South Wales |
| Enlistment date | 27 May 1916 |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/54/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 25 January 1919 |
