| Regimental number | 1998 |
| Place of birth | Remistone, England |
| Religion | Church of England |
| Occupation | Orchardist |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Fuller, near Black Horse, Remistone Akleborough Norfolk, England |
| Enlistment date | 21 June 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 21 March 1919 |
