| Regimental number | 78913 |
| Occupation | Carpenter |
| Next of kin | Wife, Mrs G D Rose, Clifton, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 10 |