| Regimental number | 4624 |
| Place of birth | Beecroft New South Wales |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Glenorle, via Hornsby, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs L Bullard, Glenorie via Hornsby, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death |