| Regimental number | 2891 |
| Place of birth | Maitland New South Wales |
| Religion | Church of England |
| Occupation | Sawyer |
| Address | The Avenue, Granville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Father, T Cullen, The Avenue, Granville, Sydney, New South Wales |
| Enlistment date | 1 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 23 May 1917 |
