| Regimental number | 5003 |
| Religion | Roman Catholic |
| Occupation | Salesman |
| Address | 2 John Street, Clifton Hill, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Mrs Pearl Fuller, 2 John Street, Clifton Hill, Melbourne, Victoria |
| Enlistment date | 26 October 1914 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Light Horse Brigade Train 3 |
| AWM Embarkation Roll number | 25/100/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on 2 February 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |