| Regimental number | 80802 |
| Occupation | Foreman |
| Next of kin | Friend, Mrs H.R. Vince, 35 Abel Smith Street, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 42nd Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Harbour records indicate that the actual date of sailing was 2 August 1918. | |
| Sources | Nominal Rolls Vol. 4: Roll 88, p. 11 |