| Regimental number | 7/769 |
| Address | Kaikoura |
| Marital status | Single |
| Next of kin | Freeborn Parsons, Benmore, Kaikoura |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 2nd Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Second |