| Regimental number | 11/824a |
| Address | Pahitiroa, Tuparoa |
| Marital status | Single |
| Next of kin | Father, Edmund Image, 4 Walpole Gardens, Strawberry Hill, Middlesex, England |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Aparima on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Third |