| Regimental number | 4/966 |
| Address | 11 Apuka Street, Brooklyn, Wellington |
| Marital status | Married |
| Next of kin | Wife, Mrs C B Nixon, 11 Apuka Street, Brooklyn, Wellington |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Fifth |