| Regimental number | 2584 |
| Place of birth | Adelong New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | Homeville, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, William John Fuller, Station Street, Homeville, New South Wales |
| Enlistment date | 20 September 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 1 November 1917 |