| Regimental number | 14681 |
| Place of birth | Thomastown Victoria |
| Religion | Presbyterian |
| Occupation | Driver |
| Address | 33 Edgar Street, East Malvern, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E A Fullerton, 33 Edgar Street, East Malvern, Victoria |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 14, Reinforcement 2 |
| AWM Embarkation Roll number | 13/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 6 July 1919 |