| Regimental number | 14107 |
| Occupation | Farmer |
| Next of kin | Father, T Hazlehurst, Fairfield, Levin |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 5th Reinforcements to 3rd Battalion, G Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 34, p. 35 |