| Regimental number | 6737 |
| Place of birth | Taralga New South Wales |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | Taralga, Roslyn Crookwell, New South Wales |
| Marital status | Widower |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M E Fullam, Taralga, Roslyn Crookwell, New South Wales |
| Enlistment date | 7 August 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 21 December 1917 |
| Date of death | 1 November 1971 |
| Place of burial | Rookwood Necropolis |
