| Regimental number | 9/1136 |
| Address | Le Cren Street, Timaru |
| Marital status | Single |
| Next of kin | Sister, Miss Louisa Mary Sutherland, Le Cren Street, Timaru |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Otago Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Waitomo on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Mounted Rifles/Fourth |