| Regimental number | 11/990 |
| Address | Te Karaka |
| Marital status | Single |
| Next of kin | Mother, Mrs A Douglas, Market Street, Adelaide, South Australia, Australia |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Wellington Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Aparima on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Mounted Rifles/Third |