| Regimental number | 51621 |
| Occupation | Surveyor's cadet |
| Next of kin | Mother, Mrs Anna Maud Ballantyne, 53 Bidwell Street, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 6 |