| Regimental number | 6/2717 |
| Address | 139 Norwood Street, Beckenham, Christchurch |
| Marital status | Single |
| Next of kin | Simon Oates, 139 Norwood Street, Beckenham, Christchurch |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 27 Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Sixth |