| Regimental number | 47496 |
| Occupation | Store assistant |
| Next of kin | Mother, Mrs M Bates, Heather Berth, Frogham, Fordingbridge, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), Specialists' Company, Machine Gun Section |
| Embarkation details | Unit embarked from Wellington on board HMNZT 86 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 28 |