| Regimental number | 80567 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs A Russell, Henley, Otago |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 42nd Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Harbour records indicate that the actual date of sailing was 2 August 1918. | |
| Sources | Nominal Rolls Vol. 4: Roll 88, p. 9 |