| Regimental number | 27938 |
| Occupation | Storeman |
| Next of kin | Mother, Mrs A Mouton, Mitchelltown, Wellington |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 12th Reinforcements to 2nd Battalion, F Company |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Final rank | Private |
| Final unit | 2nd Battalion, Otago Infantry Regiment |
| Fate | Died of disease |
| Age at death from cemetery records | 25 |
| Place of burial | Torquay Cemetery and Extension (Plot D, Row 2, Grave No 8950), Devon, England |
| Miscellaneous information from cemetery records | Parents: Dan and Mary Ann Mouton, Mount Pleasant, Mitchelltown, Wellington |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 28 |