| Regimental number | 27576 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs M Phillips, Redan Street, Wyndham, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 16 |