| Regimental number | 21830 |
| Occupation | Plumber |
| Next of kin | Aunt, Mrs Ella Miller, 71 Woodlands Road, Timaru |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 7th Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 35 |