| Regimental number | 1249 |
| Place of birth | Horsham, Victoria |
| Religion | Church of England |
| Occupation | Barman |
| Address | 115 Albert Street, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Mary A Culliver, Wilson Street, Horsham, Victoria |
| Enlistment date | 28 January 1916 |
| Place of enlistment | Prahran, Victoria |
| Rank on enlistment | Lance Corporal |
| Unit name | 39th Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 30 April 1919 |
