| Regimental number | 81777 |
| Occupation | Caretaker |
| Next of kin | Mother, Mrs A M Hicks, 13A Mount Street, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 43rd Reinforcements (1st Draft), F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 110 Ruahine on |
| Sources | Nominal Rolls Vol. 4: Roll 90, p. 4 |