| Regimental number | 10/1111 |
| Date of birth | |
| Religion | Church of England |
| Occupation | Shepherd |
| Address | Patutahi, Gisborne |
| Marital status | Single |
| Age at embarkation | 26.3 |
| Height | 5' 8.5" |
| Weight | 124 lbs |
| Next of kin | Louise C Burgess, 75 Manor Road, Brockley, London, England |
| Previous military service | Served for 4 years in the 1st Surrey Rifles, England; unit disbanded; not serving in any military unit at time of NZEF enlistment. |
| Enlistment date | |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 10 Arawa on |
| Final rank | Private |
| Final unit | Wellington Infantry Regiment |
| Fate | Discharged in the United Kingdom |
| Discharge date | |
| Other details |
Discharged (permanently unfit), England, 8 December 1916. Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Main Body |
| Sources | Archives New Zealand (Wellington), Agency AABK, Series 18805, File 21889938 |