| Regimental number | 997 |
| Place of birth | Worcester England |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 103 Durham Road, Watford, Hertfordshire, England |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Fuller, 103 Durham Road, Watford, Hertfordshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, D Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 9th Field Ambulance |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 31089 (31 December 1918); 'Commonwealth Gazette' No. 61 (23 May 1919). Recommendation date: |
| Fate | Effective abroad (still overseas) |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |