
| Regimental number | 1461 |
| Place of birth | Summertown South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Summertown, Mount Lofty, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, John Fuller, Summertown, Mount Lofty, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | St. Quenton |
| Age at death | 27 |
| Place of burial | Heath Cemetery (Plot IV, Row B, Grave No. 10), Harbonnieres, France |
| Panel number, Roll of Honour, Australian War Memorial | 59 |