| Regimental number | 53064 |
| Occupation | Painter |
| Next of kin | Mother, Mrs M Park, Mataura |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (Second Draft), F Company |
| Embarkation details | Unit embarked from Wellington on board Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 68, p. 5 |