| Regimental number | 24/577 |
| Address | Paeroa |
| Marital status | Single |
| Next of kin | Mother, Mrs E Shaw, Paeroa |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 2nd Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: B Company/2nd NZRB |