| Regimental number | 1672 |
| Religion | Church of England |
| Occupation | Ambulance bearer |
| Address | Arandale Street, off Ipswich Road, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Lucy Fuller, Arandale Street, off Ipswich Road, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance, 3rd Reinforcement |
| AWM Embarkation Roll number | 26/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Fate | Killed in Action |
| Age at death from cemetery records | 21 |
| Place of burial | Pozieres British Cemetery (Plot III, Row N, Grave No. 6), Ovillers-La-Boisselle, France |
| Panel number, Roll of Honour, Australian War Memorial | 182 |
| Miscellaneous information from cemetery records | Parents: William Henry and Lucy Edith FULLER, 8 Audley Street, Petersham, New South Wales. Native of Redbank, Burrandong |