| Regimental number | 4/1055 |
| Address | 73 Cole Street, Masterton |
| Marital status | Single |
| Next of kin | Mother, Mrs T Hope Lewis, c/o Lieut-Colonel Hope Lewis, Hotel Cecil, Wellington |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Sixth |