| Regimental number | 17784 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs W Harris, Willowbridge via Waimate |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements, 1st Draft, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Other details |
Discharged on voyage for return to New Zealand (medically unfit) Medal: British War Medal |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 11 |