| Regimental number | 19370 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Telephone mechanic |
| Address | Wagga Wagga, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Florence Edith Fullwood, 'Chestnut', Jersey Avenue, Penshurst, New South Wales |
| Enlistment date | 3 May 1917 |
| Rank on enlistment | Sapper |
| Unit name | Special Draft Reinforcements Signal Service (Egypt) |
| AWM Embarkation Roll number | 22/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Signal Squadron Australian Mounted Division |
| Fate | Returned to Australia 3 July 1919 |
