| Regimental number | 10/857 |
| Date of birth | |
| Place of birth | Kaikowra North |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Taiata, Taranaki |
| Marital status | Single |
| Age at embarkation | 21.2 |
| Height | 5' 7" |
| Weight | 164 lbs |
| Next of kin | Father, Fougere, Tarata, Taranaki |
| Previous military service | Served in the Territorial Force; still serving at time of NZEF enlistment. |
| Enlistment date | |
| Place of enlistment | Awapuni |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 10 Arawa on |
| Final rank | Private |
| Final unit | Wellington Infantry Battalion |
| Fate | Returned to New Zealand |
| Discharge date | |
| Other details |
War service: Egypt, Gallipoli Commenced return to New Zealand from Suez on board HT 'Tofua', 23 September 1915; discharged (no longer physically fit for War Service: wounded both forearms), 26 July 1916. Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Main Body. Year of enlistment incorrectly entered on Form B103 as 1915. |
| Sources | Archives New Zealand (Wellington), Agency AABK, Series 18805, File 121004398 |