| Regimental number | 53021 |
| Occupation | Gardener |
| Next of kin | Sister, Mrs Annie Broderick, Grey Street, Palmerston North |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 7 |