| Regimental number | 4/577 |
| Address | c/o O Percy, Te Oreore |
| Marital status | Single |
| Next of kin | Mrs O Percy, Masterton |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Main Body |