| Regimental number | 29474 |
| Occupation | Farmer |
| Next of kin | Sister, Miss A Phillips, Douglas, Taranaki |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 12th Reinforcements to 1st Battalion, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 67 Tofua on |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 25 |