| Regimental number | 40479 |
| Occupation | Tiler |
| Next of kin | Mother, Mrs C C Ballantyne, 27 Albany Road, Ponsonby, Auckland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Mokoia on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 28 |