| Regimental number | 17503 |
| Occupation | Farm hand |
| Next of kin | Mother, Mrs Heissenbuttel, c/o Mrs H A Cooper, Kaiapoi, Canterbury |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 19th Reinforcements, New Zealand Mounted Rifles, Mounted Rifle Brigade |
| Embarkation details | Unit embarked from Wellington on board Waihora on |
| Sources | Nominal Roll Vol. 2: Roll 46, p. 2 |