| Regimental number | 8/1968 |
| Address | Trafford Street, Gore |
| Marital status | Married |
| Next of kin | Wife, Mrs M C Domigan, Trafford Street, Gore |
| Rank on embarkation | Captain |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Otago Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 24 Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Infantry Batln/Fifth |