| Regimental number | 10/2074 |
| Address | 42 Lombard Street, Palmerston North |
| Marital status | Married |
| Next of kin | Wife, Mrs Ida Helena Birch, 42 Lombard Street, Palmerston North |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Fifth |