| Regimental number | 2780 |
| Place of birth | Blandford New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Ann Catherine Bullock, Uralla, New South Wales |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 4 July 1919 |
