| Regimental number | 81618 |
| Occupation | Buttermaker |
| Next of kin | Wife, Mrs M L Madsen, Taneatua Bay of Plenty |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 10 |