| Regimental number | 10/2493 |
| Address | Palmerston North |
| Marital status | Single |
| Next of kin | Sister, Mrs G T Lane, Grenfell Street, Adelaide, South Australia, Australia |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Sixth |