| Regimental number | 24/423 |
| Address | Vermont Road, Birkdale, Birkenhead, Auckland |
| Marital status | Single |
| Next of kin | Friend, Mrs A B Potter, Onewa Street, Birkenhead, Auckland |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 2nd Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: B Company/2nd NZRB |