| Regimental number | 1870 |
| Place of birth | Cambridge England |
| Religion | Church of England |
| Occupation | Bushman |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, John Fuller, c/o General Delivery, PO Kelowna, Bc , Canada |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
