| Regimental number | 2/1625 |
| Address | Coutts Island, Kaiapoi |
| Marital status | Single |
| Next of kin | Miss J Forbes, Coutts Island, Kaiapoi |
| Rank on embarkation | Driver |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Fifth |