| Regimental number | 37640 |
| Occupation | Gold miner |
| Next of kin | Wife, Mrs Jane Alice Bartlett, Church Street, Reefton |
| Rank on embarkation | Sapper |
| Unit name | New Zealand Expeditionary Force, New Zealand Engineers Tunnelling Company, 5th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board HMNZT 84 Turakina on |
| Sources | Nominal Roll Vol. 3: Roll 62, p. 39 |