| Regimental number | 146 |
| Place of birth | Hollingbourne England |
| Religion | Protestant |
| Occupation | Labourer |
| Address | Dalby PO,Dalby, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Nellie Louise Fuller, 4 Whitemore Street, Maidstone, Kent, England |
| Enlistment date | 6 January 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 16 June 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 23 July 1919 |
