| Regimental number | 11/1071 |
| Address | Chatsworth House Grey St Gisborne |
| Marital status | Single |
| Next of kin | Sister, Mrs E Roman, c/o Mrs J Pope 8 Crown St Mellom Cumberland England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Aparima on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Third |