| Regimental number | 891 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | 107 Hoddle Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | William Fullerton, 107 Hoddle Street, Collingwood, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
