| Regimental number | 4/419 |
| Address | 32 Howard Street, Spreydon, Christchurch |
| Marital status | Single |
| Next of kin | Mother, Mrs Martha Lane, 32 Howard Street, Spreydon, Christchurch |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Main Body |