| Regimental number | 53915 |
| Occupation | Steward |
| Next of kin | Wife, Mrs S Haslam, c/o Mrs Clements, 393 Adelaide Road, Wellington |
| 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 |