| Regimental number | 4/978 |
| Address | 59 Wright Street, Wellington |
| Marital status | Single |
| Next of kin | Mrs K Coker, 816 Cumberland Street, Dunedin |
| Rank on embarkation | Sapper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, New Zealand Engineers |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Engineers/Samoan Adv |