| Regimental number | 36063 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs C Peterson, Athol Southland |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, New Zealand Mounted Rifles, 23rd Reinforcements |
| Embarkation details | Unit embarked from Wellington on board Moeraki on |
| Sources | Nominal Roll Vol. 3: Roll 58, p. 2 |