| Regimental number | 4/931 |
| Address | 12 Cambria Street, Nelson |
| Marital status | Single |
| Next of kin | Mother, Mrs J Illingworth, 363 Worcester Street, Christchurch |
| 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 |