| Regimental number | 9/1211 |
| Address | Hamilton |
| Marital status | Single |
| Next of kin | Aunt, Miss N Nicol, 16 William Street, Dunedin |
| Rank on embarkation | Quartermaster Sergeant |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Otago Mounted Rifles Regiment, 6th Reinforcement |
| Embarkation details | Unit embarked from Wellington on board HMNZT 28 Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Mounted Rifles/Sixth |