| Regimental number | 12/1203 |
| Address | Chelsea, Auckland |
| Marital status | Single |
| Next of kin | Matilda Fuller, Axe Street, 3 Padnels Place, Barking, Essex, England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 2nd Reinforcements, Auckland Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Infantry Batln/Second |