| Regimental number | 79216 |
| Occupation | Builder |
| Next of kin | Wife, Mrs E E Hill, Akitio via Dannevirke |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 9 |