| Regimental number | 25/1041 |
| Address | Peoples Palace, Wellington |
| Marital status | Single |
| Next of kin | Mrs E Ayres, Newtown, Woodford near Thropston, Northamptonshire, England |
| Rank on embarkation | Rifleman |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 3rd Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: D Company/3rd NZRB |