| Regimental number | 2410 |
| Place of birth | Bury England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o A W Matthews, Burrideree, Canowindra, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, William Fuller, Lodge Farm, Culford Heath near Bury Street, Edmunds, Suffolk, England |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/71/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 1 February 1918 |
