| Regimental number | 21290 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs Annie Martin, corner of Grey and Queen Streets, Onehunga |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from New Zealand on board Aparima on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 8 |