| Regimental number | 61902 |
| Occupation | Buttermaker |
| Next of kin | Mother, Mrs J Jellyman, Spur Road, Ashhurst |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Specialist Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 20 |