| Regimental number | 4/1604 |
| Address | Mrs Bostock Martha Hill, Waihi |
| Marital status | W |
| Next of kin | Sister, Mrs McConnell, Californian Gully, Bendigo, Victoria, Australia |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Field Engineers, Tunnelling Company |
| Embarkation details | Unit embarked from Auckland on board HMNZT Ruapehu on |
| Embarkation details | Unit embarked from |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Tunnellers |