| Regimental number | 7/1116 |
| Address | 50 Stanmore Road, Christchurch |
| Marital status | Single |
| Next of kin | Public Trustee Christchurch |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Fifth |