| Regimental number | 4/1134 |
| Address | 208 Lascelles Street, Hastings |
| Marital status | Single |
| Next of kin | Mother, Mrs Annie Bergin, Sefton Street, Timaru |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Lyttelton on board Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Eighth |