
| Regimental number | 6467 |
| Place of birth | Barrow in Furness, Lancashire, England |
| School | Catholic School, England |
| Age on arrival in Australia | 19 |
| Religion | Roman Catholic |
| Occupation | Railway porter |
| Address | 35 Wellington Street, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Margaret Ann Fullard, 35 Wellington Street, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 12th Reinforcement |
| AWM Embarkation Roll number | 26/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Died of disease |
| Place of death or wounding | France |
| Age at death | 27 |
| Place of burial | Abbeville Communal Cemetery Extension (Plot V, Row B, Grave No. 5), France |
| Panel number, Roll of Honour, Australian War Memorial | 82 |
| Miscellaneous information from cemetery records | Parents: Samuel and Margaret Ann FULLARD, 35 Wellington Street, Richmond, VIctoria, Native of Barrow-in-Furness, England |