| Regimental number | 34780 |
| Occupation | Ploughman |
| Next of kin | Friend, E A Axelsen, 41 Clyde Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (2nd Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Athenic on |
| Sources | Nominal Roll Vol. 2: Roll 49, p. 5 |