| Regimental number | 6/1717 |
| Address | Public Works, Ward |
| Marital status | Single |
| Next of kin | Friend, J Johnson, c/o N Andrews, Ward, Marlborough |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 4 Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Third |