| Regimental number | 81107 |
| Occupation | Cheesemaker |
| Next of kin | Wife, Mrs M Balsom, c/o S Vickers, Omata, Taranaki |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 8 |