| Regimental number | 74121 |
| Occupation | Teacher |
| Next of kin | Father, R G Rose, Gladwin Road, Onehunga |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 42nd Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Harbour records indicate that the actual date of sailing was 2 August 1918. | |
| Sources | Nominal Rolls Vol. 4: Roll 88, p. 9 |