| Regimental number | 8/2730 |
| Address | Fernlea, Gore |
| Marital status | Single |
| Next of kin | Mother, Mrs B Smith, Trafford Street, Gore |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcement, Otago Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Infantry Batln/Sixth |