| Regimental number | 6717 |
| Place of birth | Hunters Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Madeline Street, Hunters Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Father, J Cullen, Madeline Street, Hunters Hill, New South Wales |
| Enlistment date | 20 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 19 February 1919 |
