| Regimental number | 21695 |
| Occupation | Ploughman |
| Next of kin | Mother, Mrs W H Jury, Clarkville via Kaiapoi |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 43rd Reinforcements (2nd Draft), A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 111 Matatua on |
| Sources | Nominal Rolls Vol. 4: Roll 90, p. 14 |