| Regimental number | 100 |
| Place of birth | Sutton England |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 13 Stewart Street, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A M Fuller, c/o A Mathews, Mill House, Church Road, Croydon, Surrey, England |
| Enlistment date | 8 August 1914 |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), A Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 August 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
