| Regimental number | 79600 |
| Occupation | Bushman |
| Next of kin | Mother, Mrs M A Grooby, 128 High Street, Greymouth |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 12 |