| Regimental number | 7/819a |
| Address | 245 Willis Street, Wellington |
| Marital status | Single |
| Next of kin | Friend, Mrs J Ridge, 3 King Street, Petone, Wellington |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board HMNZT 19 Apimara on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Third |