| Regimental number | 23/140 |
| Address | c/o Miss Doig, Papakaio |
| Marital status | Single |
| Next of kin | Father, A Fullerton, c/o Mr Dunn, North Road, Oamaru |
| Rank on embarkation | Rifleman |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 1st Battalion, New Zealand Rifle Brigade, A Company |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: A Company/1st NZRB |