| Regimental number | 12195 |
| Occupation | Draper |
| Next of kin | Wife, Mrs H K Hollard, c/o W J Phillips, Upper Lewisville Terrace, Wellington |
| Rank on embarkation | Captain |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 3rd Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 19 |