| Regimental number | 2/1764 |
| Address | c/o Westport Coal Company, Dunedin |
| Marital status | Single |
| Next of kin | Mother, Mrs A Cooke, Manchester Street, Feilding |
| Rank on embarkation | Gunner |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Fifth |