| Regimental number | 24/420 |
| Address | 53 Burke Street, Sydenham, Christchurch |
| Marital status | Single |
| Next of kin | Father, J Fitzsimmons, 53 Burke Street, Sydenham, Christchurch |
| Rank on embarkation | Rifleman |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 2nd Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: B Company/2nd NZRB |