| Regimental number | 71227 |
| Occupation | Driver |
| Next of kin | Mother, Mrs Edith Naomi Jackson, 38 Bay Street, Petone, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 36th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Willochra on |
| Sources | Nominal Rolls Vol. 4: Roll 81, p. 10 |