| Regimental number | 10/1412 |
| Address | 12 Cardall Street, Newtown |
| Marital status | Single |
| Next of kin | Mother, Mrs Lucy Beaumont, 12 Cardall Street, Newtown, Wellington |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Third |