| Regimental number | 20/9 |
| Address | Te Uku |
| Marital status | Married |
| Next of kin | Wife, Mrs A E Cogswell, Church Street, Devonport, Auckland |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, New Zealand Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on board Moeraki on |
| Miscellaneous details | Nominal Roll Vol. 1: Mounted Infantry/Third Samoan Relief |