| Regimental number | R997 |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Gwellingup PO, Gwellingup, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Elizabeth Fuller, 103 Durban Road, Watford, Herts, England |
| Enlistment date | 15 March 1915 |
| Date of enlistment from Nominal Roll | 8 May 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 26 September 1916 |
| Regimental number from Nominal Roll | 997 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Effective abroad (still overseas) |
