| Regimental number | 29480 |
| Occupation | Traveller |
| Next of kin | Wife, Mrs K Rae, Post Office, Te Awamutu |
| 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 |