| Regimental number | 50613 |
| Occupation | Soldier |
| Next of kin | Mother, Mrs Harriet Jordan, Chelworth, Great South Road, Ellerslie, Auckland |
| Rank on embarkation | Lieutenant |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board HMNZT 86 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 27 |