| Regimental number | 21699 |
| Occupation | Shepherd |
| Next of kin | Mother, Mrs A. Scott, Sebergham, Carlisle, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 14 |