| Regimental number | 10/841 |
| Address | c/o J Mahu, 820 Joll Road, Hastings |
| Marital status | Single |
| Next of kin | Mrs J Henderson, Disraeli Street, Mount Eden, Auckland |
| 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 |