| Regimental number | 6560 |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Green Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E M Fuller, Hickeys Creek, Macleay River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |