| Regimental number | 35756 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs W H Lewis, Summerhayes Street, Palmerston North |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 21sr Reinforcements, Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on board Manuka on |
| Sources | Nominal Roll Vol. 3: Roll 53, p. 2 |