| Regimental number | 39743 |
| Occupation | Bushman |
| Next of kin | Mother, Mrs W Bevins, East Road Stratford |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 79 Ruapehu on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 8 |