| Regimental number | 10/1499 |
| Address | Aramoho, Wanganui |
| Marital status | Single |
| Next of kin | Mother, Mrs Catherine Green, c/o Mrs Sparrow, Oxley Street, St Albans, Christchurch |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Tahiti on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Third |