| Regimental number | 12/1892 |
| Address | Epsom, Auckland |
| Marital status | Single |
| Next of kin | Sister, Miss Daisy N Bousfield, 14 Richmond Avenue, Southend-on-Sea, England |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Auckland Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 21 Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Infantry Batln/Fourth |