| Regimental number | 2816 |
| Place of birth | Fitzroy Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | York, Western Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Alice Fullerton, c/o Mrs Hornsby, Victoria Street, Bunbury, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Mongolia on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Other details | Medals: British War Medal, Victory Medal |
| Date of death |