| Regimental number | 14/91 |
| Address | Eccles Street, Gore |
| Marital status | Single |
| Next of kin | Mother, Mrs May Ford, Eccles Street, Gore |
| Rank on embarkation | Driver |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Army Service Corps, Divisional Train |
| Embarkation details | Unit embarked from Wellington on board Waimana on |
| Miscellaneous details | Nominal Roll Vol. 1: ASC Divisional Train/Main Body |