| Regimental number | 2/634 |
| Address | St Andrew Street, Blenheim |
| Marital status | Single |
| Next of kin | Mother, Mrs C M Simmons, St Andrew Street, Blenheim |
| Rank on embarkation | Driver |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Main Body |