| Regimental number | 1543 |
| Place of birth | Johnsburg South Australia |
| Religion | Methodist |
| Occupation | Warder |
| Address | Nardia, via Swan Reach, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs. Sarah Jane Fulwood, Nardia, via Swan Reach, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
| Other details |
War service: Middle East Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 73 |
| Place of burial | Waikerie Cemetery, South Australia |