| Regimental number | 5/258 |
| Address | Criterion House, Wanganui |
| Marital status | Single |
| Next of kin | Sister, Mrs Rachael Montgomery, Manchester Street, Feilding |
| Rank on embarkation | Driver |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Army Service Corps |
| Miscellaneous details | Nominal Roll Vol. 1: Army Service Corps/Fourth |