| Regimental number | 73328 |
| Occupation | Contractor |
| Next of kin | Mother, Mrs E C Jackson, Balderton, Newark, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 38th Reinforcements, C Company |
| Embarkation details | Unit embarked from New Zealand on board HMNZT No 105 Remuera on |
| Sources | Nominal Rolls Vol. 4: Roll 83, p. 9 |