| Regimental number | 23/631 |
| Address | 12 Buffon Street, Sydenham, Christchurch |
| Marital status | Single |
| Next of kin | Father, L Vivian, 122 Buffon Street, Sydenham, Christchurch |
| Rank on embarkation | Rifleman |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 1st Battalion, New Zealand Rifle Brigade, B Company |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: B Company/1st NZRB |