| Regimental number | 20412 |
| Place of birth | Australia |
| Occupation | Wool classer |
| Next of kin | Wife, Mrs R J Pettitt, 36 Victoria Street Petone Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 12 |