| Regimental number | 74199 |
| Occupation | Contractor |
| Next of kin | Sister, Mrs Sarah Collins, Auburn Street, Takapuna, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 103 Maunganui on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 15 |