| Regimental number | 12/1680 |
| Address | 402 Upper Queen Street, Auckland |
| Marital status | Single |
| Next of kin | Joseph Jackson, Brooklyn, New York, United States of America |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Auckland Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 4 Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Infantry Batln/Third |