| Regimental number | 4/1194 |
| Address | Nelson |
| Marital status | Single |
| Next of kin | Sister, Miss Ethel Ray, 67 Tasman Street, Nelson |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Lyttelton on board Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Eighth |