| Regimental number | 69511 |
| Place of birth | Australia |
| Occupation | Labourer |
| Next of kin | Friend, E Samson, Mohakatino Station, Mokau |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 101 Tofua on |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 10 |