| Regimental number | 3902 |
| Place of birth | Riverhead England |
| Religion | Church of England |
| Occupation | Sleeper cutter |
| Address | Mullalyup, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Brother, G J Fuller, Mullalyup, Western Australia |
| Enlistment date | 23 August 1915 |
| Date of enlistment from Nominal Roll | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 22 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 28 February 1919 |
