| Regimental number | 5/555 |
| Address | c/o Barker 93 Ferguson Street, or CPO, Palmerston North |
| Marital status | Single |
| Next of kin | Sister, Miss M Ellis, 56 Vincent Street, Auckland |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, Army Service Corps |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Army Service Corps/Eighth |