| Regimental number | 39613 |
| Occupation | Flax cutter |
| Next of kin | Mother, Mrs M Haley, c/o R Haley, Shannon |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, E Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board Mokoia on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 16 |