| Regimental number | 3439 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Southport, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. S. Fuller, Southport, Queensland |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
