| Regimental number | 6506 |
| Place of birth | Rylstone New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Springfield, Bylong, via Rylestone, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Mrs E A Fuller, Springfield, Bylong, via Rylstone, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |