| Regimental number | 17612 |
| Occupation | Mercer |
| Next of kin | Mother, Mrs E Berry, 23 Cross Street, Linwood, Christchurch |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, 26th Reinforcements (Second Draft) and 27th Reinforcements (First Draft), New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 7 |