| Regimental number | 8/2598 |
| Address | HM Prison, Invercargill |
| Marital status | Married |
| Next of kin | Wife, Mrs G L Fuller, c/o Mrs Walker, 102 Leet Street, Invercargill |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcement, Otago Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Infantry Batln/Sixth |