| Regimental number | 5/230 |
| Address | Culverden, North Canterbury |
| Marital status | Single |
| Next of kin | Mother, Mrs Goodrich, 68 Cranbrook Park, Wood Green, London, England |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Army Service Corps |
| Miscellaneous details | Nominal Roll Vol. 1: Army Service Corps/Fourth |