| Regimental number | 36737 |
| Occupation | Boot store manager |
| Next of kin | Wife, Mrs E M Bullen, c/o Jack and Co, Whangarei |
| Rank on embarkation | Company Sergeant Major |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, April 1917, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 82 Pakeha on |
| Original embarkation, 14 April 1917; troops disembarked, 18 April 1917; left New Zealand, 26 April 1917. | |
| Sources | Nominal Roll Vol. 3: Roll 60, p. 20 |