| Regimental number | 6829A |
| Place of birth | Junee New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Powell Town, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E A Fuller, 56 McDonald Street, Erskineville, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Divisional Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
