| Regimental number | 1/100 |
| Place of birth | Australia |
| Occupation | Civil servant |
| Next of kin | Mother, Mrs F Berendsen, 25 Hawkestone Street, Wellington |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 43rd Reinforcements (2nd Draft), B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 111 Matatua on |
| Other details | Ex Samaon Advance |
| Sources | Nominal Rolls Vol. 4: Roll 90, p. 15 |