| Regimental number | 16367 |
| Occupation | Driver |
| Next of kin | Mother, Mrs C O Ross, Post Office, Clinton |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, New Zealand Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board SS Manuka on |
| Sources | Nominal Roll Vol. 2: Roll 40, p. 1 |