| Regimental number | 11294 |
| Occupation | Labourer |
| Next of kin | Sister, Mrs Ellen Crust, Manse Street Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimoroa on |
| Other details | Failed to Re-embark at Freemantle 13/5/16 |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 13 |