| Regimental number | 3470 |
| Place of birth | Longford Tasmania |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Strickland Avenue, South Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs M M Fullerton, Strickland Avenue, South Hobart, Tasmania |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 18 November 1918 |
