| Regimental number | 10/1214 |
| Address | Ashley-Clinton, Hawke's Bay |
| Marital status | Single |
| Next of kin | Mrs M E Cook, Ashley-Clinton, Hawke's Bay |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 2nd Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Second |