| Regimental number | 11/1479 |
| Address | 86 Tinakori Road, Wellington |
| Marital status | Married |
| Next of kin | Wife, Mrs D O'Sullivan, Empire Hotel, Featherston |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board HMNZT 28 Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Sixth |