| Regimental number | 39601 |
| Occupation | Bushman |
| Next of kin | Mother, Mrs T V Mortensen, Piopio, Te Kuiti |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, H Company (Second Part) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 86 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 34 |