| Regimental number | 47569 |
| Occupation | Motor driver |
| Next of kin | Wife, Mrs E R Adcock, 30 St John Street, Woolston, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 26th Reinforcements (1st Draft), Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 85 Willochra on |
| Sources | Nominal Roll Vol. 3: Roll 66, p. 10 |