| Regimental number | 10534 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs E A Jensen, Ishua, Mangamahoe |
| Rank on embarkation | Driver |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), New Zealand Field Artillery, Divisional Ammunition Column |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 12 |