| Regimental number | 40629 |
| Occupation | Miner |
| Next of kin | Uncle, D Fulton, 7 Atkinson Street South Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Auckland Infantry Regiment, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ruapehu on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 6 |