| Regimental number | 25710 |
| Occupation | Cook |
| Next of kin | Daughter, Miss B L Jarvis, c/o Mrs Duffy, Lambton Quay, Wellington |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 8th Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 65 Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 35 |