| Regimental number | 23/64 |
| Address | c/o Mrs Malone Gladstone Street, Hawera |
| Marital status | Single |
| Next of kin | Friend, Mrs Malone, Gladstone Street, Hawera |
| Rank on embarkation | Rifleman |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 1st Battalion, New Zealand Rifle Brigade, A Company |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: A Company/1st NZRB |