| Regimental number | 10/380 |
| Address | Ngatapu, Gisborne |
| Marital status | Single |
| Next of kin | S Howard, Lytham, Lancashire, England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, 1st Infantry Brigade, Headquarters |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1 |