| Regimental number | 11/958 |
| Address | Dannevirke |
| Marital status | Married |
| Next of kin | Wife, Mrs E M Mitchell, Whakarara, Waipawa, Hawke's Bay |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Waitomo on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Fourth |