| Regimental number | 5/284 |
| Address | Wangarata, Waikato |
| Marital status | Single |
| Next of kin | Mother, Mrs L Cossey, Banwell, Somerset, England |
| Rank on embarkation | Driver |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Army Service Corps |
| Miscellaneous details | Nominal Roll Vol. 1: Army Service Corps/Fourth |