| Regimental number | 3055 |
| Place of birth | Barradine New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coonabarabran, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Henry Fuller, Coonabarabran, New South Wales |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/50/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 23 July 1919 |
