| Regimental number | 65753 |
| Occupation | Carter |
| Next of kin | Mother, Mrs Bridget O'Donnell, Main Street, Kumara |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 14 |