| Regimental number | 10/2416 |
| Address | Tama Street, Lower Hutt |
| Marital status | Single |
| Next of kin | Father, A E Cox, Tama Street, Lower Hutt |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | Samoan Advance Party, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Samoan Adv & Fifth |