| Regimental number | 2821 |
| Place of birth | Clapham England |
| Religion | Church of England |
| Occupation | Jeweller |
| Address | Alice Road, Claremont, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Charles Fuller, Alice Road, Claremont, Western Australia |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| 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 | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 28 January 1919 |
