| Regimental number | 17289 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Traveller and driver |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Brother, Arthur Clarke Fullicks, Marlborough House, Pine Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | February 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Mcgillivray on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |