| Regimental number | 7/1419 |
| Address | Wakanui, Ashburton |
| Marital status | Single |
| Next of kin | D Stock, Barbadoes Street, St Albans, Christchurch |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Sixth |