| Regimental number | 65601 |
| Occupation | Labourer |
| Next of kin | Sister, Miss Emma Elizabeth Hicks, Mansell Farm, Yatley, Hampshire, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 14 |