| 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 | 5 December 1914 |
| 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 7 May 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia 10 July 1919 |
