| Regimental number | 7/1482 |
| Address | 140 Esplanade, Sumner, Christchurch |
| Marital status | Single |
| Next of kin | Mother, Mrs K L Jackson, 140 Esplanade, Sumner, Christchurch |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Sixth |