| Regimental number | 4/1115 |
| Address | Hororata |
| Marital status | Single |
| Next of kin | Sister, Mrs J B Beavis, Upper Hutt |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Sixth |