| Regimental number | 92 |
| Place of birth | Fairfield Park Victoria |
| Religion | Baptist |
| Occupation | Draftsman |
| Address | 154 Wattletree Road, Malvern, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W H Fullard, 154 Wattletree Road, Malvern, Melbourne, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, Machine Gun Section |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Promotions |
2nd Lieutenant Unit: 5 MG Btn Promotion date: Lieutenant Unit: 5 MG Btn Promotion date: |
| Fate | Returned to Australia |