| Regimental number | 25/1105 |
| Occupation | Cook |
| Next of kin | Mother, Mrs Annie Shaw, 12 Walter Street, Wellington |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 3rd Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 24, p. 15 |