| Regimental number | 11/1120 |
| Address | Cricklewood Station, Wairoa |
| Marital status | Single |
| Next of kin | Sister, Miss Ellen Bower, 8 Larkworthy Street, St Kilda, Dunedin |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Fifth |