| Regimental number | 65749 |
| Place of birth | Tumblong New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Grahamstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J T Fuller, Grahamstown, New South Wales |
| Enlistment date | 12 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 18 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 20 May 1919 |
| Other details | Medal: British War Medal |
