| Regimental number | 81109 |
| Occupation | Butcher |
| Next of kin | Wife, Mrs W M Barraclough, High Street, Hawera |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 8 |