| Regimental number | 4/409 |
| Address | Central Fire Station, Wellington |
| Marital status | Single |
| Next of kin | Sister, Mrs Lilla Scholes, Dean Gate Cottage, Bolton, Lancashire, England |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Main Body |