| Regimental number | 6/1289 |
| Address | 13 Thorndon Quay , Wellington |
| Marital status | Single |
| Next of kin | Mrs C Fraser, 16 Cupid Street, Liverpool, England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 2nd Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Second |