| Occupation | Medical practitioner |
| Marital status | Married |
| Age at embarkation | 49 |
| Next of kin | Wife, Mrs H Fullerton, Netley Flats, Walker Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain (Medical Officer) |
| Unit name | 1st Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | Major |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette', Supplement No. 29455 (28 January 1916); 'Commonwealth Gazette' No. 44 (6 April 1916). Mention in Despatches Awarded, and promulgated, 'London Gazette', 4th Supplement, No 29644 (11 July 1916); 'Commonwealth Gazette', No 176 (30 November 1916. |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |