| Regimental number | 30976 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs M E Orchard, Ohoka, North Canterbury |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (2nd Draft), New Zealand Rifle Brigade Details, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Opawa on |
| Sources | Nominal Roll Vol. 2: Roll 49, p. 14 |