| Regimental number | 41852 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs E Madsen, 38 King Street, Palmerston North |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 24th Reinforcements (1st Draft), Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 81 Devon on |
| Sources | Nominal Roll Vol. 3: Roll 59, p. 9 |