| Regimental number | 10/216 |
| Address | Featherston |
| Marital status | Married |
| Next of kin | Wife, Mrs Kate Henderson, c/o Post Office, Featherston |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 10 Arawa on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Main Body |