| Regimental number | 62104 |
| Occupation | Shearer |
| Next of kin | Mother, Mrs J Matheson, c/o H D Matheson, Parawai, Thames |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, 31st Reinforcements, New Zealand Rifle Brigade Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 97 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 23 |