| Regimental number | 4/1573 |
| Address | Naitisiri House, Huntly |
| Marital status | Married |
| Next of kin | Wife, Mrs A Olliver, 24 Watts Street, Harwich, Bolton, Lancashire, England |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Headquarters, No 2 Relief, Tunnelling Company |
| Embarkation details | Unit embarked from Auckland on board HMNZT 'Ruapehu' on |
| Miscellaneous details | Nominal Roll Vol. 1: HQ Rfts No 2 Relief/Tunnellers |