| Regimental number | 2199 |
| Place of birth | Laura South Australia |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Ryan Lane, Railway Town, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Annie Fulton, Ryan Lane, off Nicholl Street, Railway Town, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/14/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death |