
| Regimental number | 3563 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Ships Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Rose Ellen Fulcher, Ships Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Place of burial | Hersin Communal Cemetery Extension (Plot I, Row G, Grave No. 18), France |
| Panel number, Roll of Honour, Australian War Memorial | 26 |