| Regimental number | 4/1512 |
| Address | Millerton, Westport |
| Marital status | Single |
| Next of kin | Mother, Mrs Kroesen, 36 Roper Street, Kimberley, South Africa |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Headquarters, No 2 Relief, Tunnelling Company |
| Embarkation details | Unit embarked from Auckland on board HMNZT 'Ruapehu' on |
| Miscellaneous details | Nominal Roll Vol. 1: HQ No 2 Relief/Tunnellers |