| Regimental number | 5222 |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Barker Street, Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Fuller, Barker Street, Prospect, South Australia |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 8 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Makarini on |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: Mention in Despatches Recommendation date: |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |