| Regimental number | 12/1963 |
| Address | Te Awamutu, Waikato |
| Marital status | Married |
| Next of kin | Wife, Mrs E Greensides, Te Awamutu, Waikato |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 4th Reinforcements, Auckland Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 21 Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Infantry Batln/Fourth |