| Regimental number | 1/91 |
| Address | 120 Clyde Quay, Wellington |
| Marital status | Single |
| Next of kin | Father, W A Fordham, 120 Clyde Quay, Wellington |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Samoan Advance Party, B Company |
| Embarkation details | Unit embarked from Wellington on 15 August 1914 |
| Members of B Company left New Zealand on board two ships, HMNZT 1 'Moeraki' and HMNZT 2 'Monowai'. It is not possible from the Nominal Roll to determine on which ship an individual embarked. |
| Miscellaneous details | Nominal Roll Vol. 1: B Company/Samoan Adv |
