| Regimental number | 11/1519 |
| Address | Te Awamutu |
| Marital status | Single |
| Next of kin | Mother, Mrs M J Berry, Avoca, Te Awamutu |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Sixth |