| Regimental number | 61687 |
| Occupation | Horse breaker |
| Next of kin | Mother, Mrs E J Lilly, Millbrook, St Feock, Devoran, Cornwall, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 31st Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 97 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 8 |