| Regimental number | 3763 |
| Religion | Church of England |
| Occupation | Gas worker |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W Y Fullagar, Park Farm Cottage Sutton, Valence, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Killed in Action |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
