| Regimental number | 15190 |
| Occupation | Bushman |
| Next of kin | Stepmother, Mrs E Kindberg, Flint Road, Stratford |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 99 Athenic on |
| Other details | Ex 15th Reinforcements |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 14 |