| Regimental number | 67779 |
| Occupation | Traveller |
| Next of kin | Friend, Mrs M Harris, 19 West Street, Greytown |
| 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. 8 |