| Regimental number | 9/994 |
| Address | Watson's Boardinghouse' Masterton |
| Marital status | Single |
| Next of kin | Sister, Mrs J Bentley, 116 Mein Street, Wellington South |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Otago Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Waitomo on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Mounted Rifles/Third |