| Regimental number | 53912 |
| Occupation | Bushman |
| Next of kin | Friend, Mrs R A Williams, Owhango |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 89 Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 13 |