| Regimental number | 12/1646 |
| Address | Mahoenui |
| Marital status | Single |
| Next of kin | Friend, Norman William Shorey, Wynyard, Tasmania, Australia |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, E Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board HMNZT Corinthic on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Infantry Batln/Third |