| Regimental number | 34003 |
| Occupation | Labourer |
| Next of kin | Cousin, George Culpan, Tairua, Thames |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 20 |