| Regimental number | 15221 |
| Occupation | Packer |
| Next of kin | Sister, Mrs T Staite, Lumsden, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements, 1st Draft, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 11 |