| Regimental number | 552 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Usher |
| Address | 71 Grose Street, Camperdown, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Eliza Fullen, 71 Grose Street, Camperdown, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 9 |
| AWM Embarkation Roll number | 24/11/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
