| Regimental number | 36995 |
| Occupation | Sawmiller |
| Next of kin | Wife, Mrs V H C Madsen, Awahuri |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, H Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Navua on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 33 |