| Regimental number | 10366 |
| Occupation | Plasterer |
| Next of kin | Mother, Mrs W T Henry, 14 Havelock Street, Mornington, Dunedin |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), Wellington Infantry Battalion, J Company |
| Embarkation details | Unit embarked from Wellington on board Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 7 |