| Regimental number | 11876 |
| Occupation | Shepherd |
| Next of kin | Mother, Mrs S Hill, 76 Bannister Street, Masterton |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 51 Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 6 |