| Regimental number | 6/2827 |
| Date of birth | |
| Place of birth | New Zealand |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Takaka, Nelson |
| Marital status | Single |
| Age at embarkation | 22 |
| Height | 5' 8" |
| Weight | 140 lbs |
| Next of kin | Father, James Scott, Birch Hill, Takaka, Nelson |
| Enlistment date | |
| Place of enlistment | Trentham |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 27 Willochra on |
| Final rank | Sergeant |
| Final unit | 1st Battalion, Canterbury Infantry Regiment |
| Fate | Commenced return to New Zealand |
| Discharge date | |
| Other details |
War service: Egypt, Gallipoli, Western Front [First part of Form B103 missing.] Wounded in action (third occasion), 3 December 1917 (gun shot wound, buttock)Admitted to Mile End Military Hospital, London, 7 December 1917; transferred to 3rd NZ General Hospital, Codford, 25 January 1918; discharged to NZ Depot, Torquay, 11 March 1918. Classified 'Unfit' by Medical Board, 13 March 1918, and placed on NZ Roll. Commenced return to New Zealand from Liverpool on board HMNZT 'Ulimaroa', 1 May 1918; discharged (no longer physically fit for War Service on account of wounds received in action), 30 October 1918. War service: 3 years 205 days (of which 2 years 305 days were abroad) Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Sixth |
| Date of death | |
| Age at death | 71 |
| Sources | File 0361329, New Zealand Defence Force Archives, Trentham Military Camp. |