| Regimental number | 79990 |
| Occupation | Engine driver |
| Next of kin | Wife, Mrs M C Page, Ohoka North Canterbury |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 42nd Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 109 Tofua on |
| Harbour records indicate that the actual date of sailing was 2 August 1918. | |
| Sources | Nominal Rolls Vol. 4: Roll 88, p. 5 |