| Regimental number | 7/1510 |
| Address | c/o Theo Field Makiri Waimata Gisborne |
| Marital status | Single |
| Next of kin | Mother, Mrs F Rogers, c/o Miss Minnis Ladora 5 New Burlington Place Regent St London W England |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Tofua on |
| Medals |
Military Medal 'For bravery in the field.'
Source: London Gazette Date: |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Sixth |