| Regimental number | 53264 |
| Occupation | Butcher |
| Next of kin | Mother, Mrs M A Perry, 89 Wickliffe Avenue, Port Chalmers |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 87 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 21 |