| Regimental number | 28878 |
| Occupation | Agent |
| Next of kin | Mother, Mrs Dora Renner, Kaimaumau, North Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 67 Tofua on |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 16 |