| Regimental number | 4/1612 |
| Address | Tauranga |
| Marital status | Single |
| Next of kin | Father, John Fairclough, 83 Bardsley Street, Walton, Liverpool, England |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Field Engineers, Tunnelling Company |
| Embarkation details | Unit embarked from Auckland on board HMNZT Ruapehu on |
| Embarkation details | Unit embarked from |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Tunnellers |