| Regimental number | 12204 |
| Occupation | Labourer |
| Next of kin | Sister, Mrs Kay, Hornbrook Street Temuka |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 3rd Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 21 |