| Regimental number | 19/191 |
| Address | 4 St Andrew Street, Dunedin |
| Marital status | Married |
| Next of kin | Wife, Mrs G N Moffat, 4 St Andrew Street, Dunedin |
| Rank on embarkation | Company Sergeant Major |
| Enlistment status | Volunteer |
| Unit name | Samoan Relief Force, Infantry |
| Embarkation details | Unit embarked from Auckland on board SS Talune on |
| Miscellaneous details | Nominal Roll Vol. 1: Infantry/Samoan Relief |