| Regimental number | 11/870 |
| Address | Trocadero Hotel, Wellington |
| Marital status | Married |
| Next of kin | Wife, Mrs F A Dickinson, Post Office, Trentham |
| Rank on embarkation | Lance Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Waitomo on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Fourth |