| Regimental number | 25270 |
| Occupation | Trainer |
| Next of kin | Mother, Mrs Annie Willis, 693 Worcester Street, Linwood, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcement, J Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board Navua on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 20 |