| Regimental number | 15116 |
| Occupation | Dentist |
| Next of kin | Sister, Mrs S A Atkinson, Upland Road, Kelburn, Wellington |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements, 1st Draft, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 10 |