| Regimental number | 6/3249 |
| Address | 98 Harbour Street, Sydenham |
| Marital status | Single |
| Next of kin | Mother, Mrs F Betts, 14 Patching Street, Hampstead, England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Eighth |