| Regimental number | 5376 |
| Place of birth | Yarrawonga Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Yarrawonga, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Fullerton, Mulwale, New South Wales |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 31 May 1919 |