| Regimental number | 62976 |
| Occupation | Orchardist |
| Next of kin | Mother, Mrs M Henshaw, 48 Sawyers Arms Road, Papanui, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 31st Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 13 |