| Regimental number | 4/1242 |
| Address | Lower Queen Street, Onehunga, Auckland |
| Marital status | Single |
| Next of kin | Mother, Mrs Bates, c/o Mr Ball, Lower Queen Street, Onehunga, Auckland |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Tunnelling Company, Headquarters |
| Embarkation details | Unit embarked from Auckland on board HMNZT Ruapehu on |
| Miscellaneous details | Nominal Roll Vol. 1: Headquarters/Tunnellers |