| Regimental number | 76017 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs A M Parris, c/o Captain Kennedy, Putiki Bay via Awaroa, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 38th Reinforcements, D Company |
| Embarkation details | Unit embarked from New Zealand on board HMNZT No 105 Remuera on |
| Sources | Nominal Rolls Vol. 4: Roll 83, p. 12 |