| Regimental number | 11/1584 |
| Address | Te Aroha |
| Marital status | Married |
| Next of kin | Wife, Mrs A B Molloy, Ohau |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board HMNZT 28 Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Sixth |