| Regimental number | 58409 |
| Occupation | Grocer's assistant |
| Next of kin | Mother, Mrs E Hickey, Weld Street, Blenheim |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 101 Tofua on |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 7 |