| Regimental number | 21507 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs P Fallon, Maunu, Whangarei |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 8th Reinforcements to 4th Battalion, H Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 65 Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 38 |