| Regimental number | 3/1262 |
| Address | 96 Rangitikei Street, Palmerston North |
| Marital status | Single |
| Next of kin | Mother, Mrs M C Adams, 2 King Street, Sudbury, Suffolk, England |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Eighth |