| Regimental number | 4235 |
| Place of birth | Williams River New South Wales |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Tinonee, Manning River, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, M Sullivan, Tinonee, Manning River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |
| Date of death | |
| Age at death | 73 |
| Place of burial | Dawson River Cemetery, Taree, New South Wales |