| Regimental number | 34904 |
| Occupation | Liftman |
| Next of kin | Mother, Mrs Mary Norris, Waikiwi, Invercargill |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (2nd Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Athenic on |
| Sources | Nominal Roll Vol. 2: Roll 49, p. 5 |