| Regimental number | 9/809 |
| Address | Crown Hotel, Dunedin |
| Marital status | Single |
| Next of kin | Mother, Mrs A V Dawson, 209 Stout Street, Whataupoko, Gisborne |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Otago Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Aparima on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Mounted Rifles/Third |