| Regimental number | 59099 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, J Sullivan, Burton Street, Kilrush, County of Clare, Ireland |
| Enlistment date | 4 March 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 11 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
