| Regimental number | 82645 |
| Occupation | Painter |
| Next of kin | Mother, Mrs M Hansen, Parliament Street, Lower Hutt |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 43rd Reinforcements (2nd Draft), B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 111 Matatua on |
| Sources | Nominal Rolls Vol. 4: Roll 90, p. 16 |