| Regimental number | 1856 |
| Place of birth | Booleroo Centre South Australia |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Lurline Street, West Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Ellen Fuller, Lurline Street, West Adelaide, South Australia |
| Enlistment date | 13 September 1915 |
| Date of enlistment from Nominal Roll | 11 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 20 April 1919 |
