| Regimental number | 40035 |
| Occupation | Labourer |
| Next of kin | Aunt, Mrs Corrie, Trafalgar Street, Levin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, F Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 77 Mokoia on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 20 |