| Regimental number | 10/2144 |
| Address | 19 Thomson Street, Wellington |
| Marital status | Single |
| Next of kin | Mother, Mrs M E Gagen, 19 Thomson Street, Wellington |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Fifth |