| Regimental number | 17794 |
| Occupation | Tailor |
| Next of kin | Wife, Mrs W C Manssen, 78 Haven Road Nelson |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements (1st Draft), Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 9 |