| Regimental number | 10/3395 |
| Address | Gisborne |
| Marital status | Married |
| Next of kin | Wife, Mrs Robert Statham, 110 Fox Street, Gisborne |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Eighth |