| Regimental number | 11/574 |
| Address | Warea |
| Marital status | Single |
| Next of kin | Mrs H Kitchingman, Rahotu, Taranaki |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), New Zealand Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Main Body |