| Regimental number | 17/244 |
| Address | Gordonton |
| Marital status | Single |
| Next of kin | Mother, Mrs J Jury, Highcliffe, Dunedin |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 30th Reinforcements, Otago Infantry Company, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 93 Corinthic on |
| Miscellaneous details | Nominal Roll Vol. 1: Veterinary Corps/Second |