| Regimental number | 27359 |
| Occupation | Agent |
| Next of kin | Sister, Miss Mary Martha Petherick, 9 Duke Street, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 64 Devon on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 20 |