| Regimental number | 20387 |
| Occupation | Bushman |
| Next of kin | Wife, Mrs A O Mosen, Pitt Street, Raetihi |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Final rank | Lance Corporal |
| Final unit | 2nd Battalion, Wellington Infantry Regiment |
| Fate | Killed in Action |
| Age at death from cemetery records | 32 |
| Place of burial | Fifteen Ravine British Cemetery (Plot VI, Row C, Grave No 2), Villers-Plouich, France |
| Miscellaneous information from cemetery records | Parents: Emma, and the late Joseph Mosen; Wife: Olive A.M. Bergman (formerly Mosen), Alexandra Road, Raetihi |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 11 |