| Regimental number | 16/69 |
| Address | Te Araroa, East Coast |
| Marital status | Single |
| Next of kin | Father, Kiri Bristowe, Karetu, Bay of Islands |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 1st Maori Contingent, B Company |
| Embarkation details | Unit embarked from Auckland on board HMNZT 20 Warrimoo on |
| Miscellaneous details | Nominal Roll Vol. 1: B Company/First Maori |