| Regimental number | 4/964 |
| Address | Palmerston North |
| Marital status | Married |
| Next of kin | Wife, Mrs Emma Eva Horn, Palmerston North |
| 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/Fifth |