| Regimental number | 3768 |
| Place of birth | Footscray Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Westonia, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs S Cullen, Footscray PO, Footscray, Victoria |
| Enlistment date | 26 August 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 23 September 1918 |
