| Regimental number | 8/3298 |
| Address | 377 George Street, Dunedin |
| Marital status | Single |
| Next of kin | Mother, Mrs E Jacques, 109 Pelly Road, Plaistow, London, England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcement, Otago Infantry Battalion |
| Embarkation details | Unit embarked from Lyttelton on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Infantry Batln/Eighth |