| Regimental number | 50613 |
| Place of birth | Muttaburra Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Scott's Hotel, Winton, Queensland |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs P A Cullum, Millmerran, Queensland |
| Enlistment date | 1 March 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 18 December 1918 |
