| Regimental number | 4/1463 |
| Address | Derwent Street, Island Bay |
| Marital status | Married |
| Next of kin | Wife, Mrs C Perry, c/o G Jackman, Derwent Street, Island Bay, Wellington |
| Rank on embarkation | Lance Corporal |
| 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 No 2 Relief/Tunnellers |