| Regimental number | 56939 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs J Mason, Kitchener Street, Gore |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (Second Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 90 Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 26 |