| Regimental number | 13/999A |
| Address | Whakatane |
| Marital status | Married |
| Next of kin | Wife, Mrs Elsie G Haswell, Monmouth Street, Arch Hill, Auckland |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Aparima on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Third |