| Regimental number | 60211 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Fitter and motor mechanic |
| Address | Enfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs F Fuller, Blenheim Street, Enfield, New South Wales |
| Enlistment date | 10 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 16 |
| 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 | Driver |
| Unit from Nominal Roll | Australian Motor Transport Section |
| Fate | Effective abroad (still overseas) |