| Regimental number | 6/3241 |
| Address | Box 1, Kaikoura |
| Marital status | Single |
| Next of kin | Friend, Miss E Boyd, PO Box 1, Kaikoura |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1 |