| Regimental number | 12/140 |
| Address | 10 Rimu Street, Auckland |
| Marital status | Single |
| Next of kin | Mrs R Jeffs, Karangahape Road, Auckland |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, 1st Infantry Brigade, Headquarters |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: HQ Infantry Brigade/Main Body |