| Regimental number | 8/2150 |
| Address | Otangiwai |
| Marital status | Single |
| Next of kin | Mother, Mrs M Terry, Taihape |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Otago Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 24 Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Infantry Batln/Fifth |