| Regimental number | 61906 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs J H Missen, Raukura, Taihape |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Specialist Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 99 Athenic on |
| Date of death | |
| Age at death | 69 |
| Place of burial | Pyes Pa Memorial Park Cemetery and Crematorium (Row A, Panel 15), Tauranga, Bay of Plenty |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 20 |