| Regimental number | 69499 |
| Occupation | Farm hand |
| Next of kin | Mother, Mrs M.A. Lacey, Lattimer Street, Anstey, Leicester, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 34th Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 100 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 78, p. 11 |