| Regimental number | 13796 |
| Occupation | Painter |
| Next of kin | Mother, Mrs Margaret Josephine O'Sullivan, 13 Abel Smith Street Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 12 |