| Regimental number | 15/41 |
| Address | 7 College Street, Wellington |
| Marital status | Single |
| Next of kin | Mother, Mrs M Fleetwood, Wicksteed Street, Wanganui |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Headquarters |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1 |