| Regimental number | 12551 |
| Occupation | Hairdresser |
| Next of kin | Wife, Mrs Alice Bax, 108 Hastings Street, Napier |
| Rank on embarkation | Captain |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), New Zealand Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 1 |