| Regimental number | 11778 |
| Occupation | Retired |
| Next of kin | Wife, Mrs Edith M Rivers, Market Street, Hastings |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 51 Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 5 |