| Regimental number | 39637 |
| Occupation | Baker |
| Next of kin | Mother, Mrs Constance Nickolls, 299 Cambridge Terrace, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 21 |