| Regimental number | 6/1899 |
| Address | Seddonville, Westland |
| Marital status | Single |
| Next of kin | Mother, Mrs Elizabeth Llewellyn, 7 Shady Road, Istrad, South Wales |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board HMNZT 23 Waitomo on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Fourth |