
| Place of birth | Southport Qld |
| School | The Southport School, Southport, Queensland |
| Religion | Church of England |
| Occupation | Surveyor |
| Address | 'Campsie', Old Sandgate Road, Albion, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Cordelia Fanny Fullerton, 'Campsie', Old Sandgate Road, Albion, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 25th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Wandilla on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Killed in Action |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |