| Regimental number | 55769 |
| Occupation | Carter |
| Next of kin | Sister, Miss A Mitchell, King Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (Second Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 90 Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 27 |