| Regimental number | 6/2013 |
| Address | c/o J Holland, Grey Street, Timaru |
| Marital status | Married |
| Next of kin | Wife, Mrs Alice Wilson, c/o J Holland, Grey Street, Timaru |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 21 Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Fourth |