| Regimental number | 3033 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Broome Hill, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Frank Ferman Fuller, 608 Salisbury House, London Wall, Ec, England |
| Enlistment date | 27 October 1916 |
| Date of enlistment from Nominal Roll | 18 October 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 6 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on 29 December 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
