| Regimental number | 40119 |
| Occupation | Boatbuilder |
| Next of kin | Mother, Mrs Rosetta Lake, 7 Green Street, Newtown, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 25th Reinforcements, Specialist Company, Machine Gun Section |
| Embarkation details | Unit embarked from Wellington on board HMNZ Turakina on |
| Sources | Nominal Roll Vol. 3: Roll 62, p. 25 |