| Regimental number | 17/295 |
| Address | Jones Boardinghouse, Courtenay Place, Wellington |
| Marital status | Single |
| Next of kin | First cousin, J Ross, King Country, North Island |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Veterinary Corps, 4th Reinforcement |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Veterinary Corps/Fourth |