| Regimental number | 1084 |
| Place of birth | Wandsworth England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Garratt Road, Bayswater, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Beatrice Fullwood, Garratt Road, Bayswater, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Lance Corporal |
| Unit name | 3rd Pioneer Battalion, D Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 95 Date: |