| Regimental number | 204 |
| Place of birth | Trayton England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, M Fulcher, Crystal Cafe, Perth, Western Australia |
| Enlistment date | 18 September 1914 |
| Date of enlistment from Nominal Roll | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, A Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Trench Mortar Battery |
| Fate | Returned to Australia 8 October 1918 |
