| Regimental number | 27837 |
| Occupation | Caretaker |
| Next of kin | Wife, Mrs M C Bethell, 68 Hutt Road, Petone |
| Rank on embarkation | Private |
| Unit name | Miscellaneous Embarkation, Samoan Reinforcements |
| Embarkation details | Unit embarked from Auckland on board SS Talune on |
| Other details | Ex 18th Reinforcements |
| Sources | Nominal Rolls Vol. 4: Roll 90, p. 23 |