| Regimental number | 17196 |
| Occupation | Storekeeper |
| Next of kin | Sister, Miss J Kelly, 11 Onepu Road, Kilbirnie, South Wellington |
| Rank on embarkation | Gunner |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board HMNZT 61 Aparima on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 22 |