| Regimental number | 22096 |
| Occupation | Draper |
| Next of kin | Mother, Mrs M Rasmussen, 334 Great North Road, Grey Lynn, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 14 |