| Regimental number | 22055 |
| Occupation | Shop assistant |
| Next of kin | Mother, Mrs M Medder, 46 Maitland Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, Machine Gun Section |
| Embarkation details | Unit embarked from Wellington on board HMNZT Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 24 |