| Regimental number | 3058 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Edward Fuller, 10 Westville Road, Sheppard's Bush, London, england |
| Enlistment date | 16 October 1916 |
| Date of enlistment from Nominal Roll | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
