| Regimental number | 4290 |
| Place of birth | Marrickville New South Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Waroona, Charles Street, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs G S Fuller, c/o Mrs Denevan, Waroona, Charles Street, Marrickville, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 79 |
| Place of burial | Darlington Point Cemetery, New South Wales |