| Regimental number | 5/705 |
| Address | Rangiora, Khyber Pass |
| Marital status | Single |
| Next of kin | Forrest Miller, 13 Matlock Street, Woolston, Christchurch |
| Rank on embarkation | Driver |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, Army Service Corps |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Army Service Corps/Eighth |