| Regimental number | 7/1409 |
| Address | Freezing Works, Wakatu |
| Marital status | Single |
| Next of kin | A Rogers, Belfast, Canterbury |
| 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 |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Sixth |