| Regimental number | 64583 |
| Place of birth | Australia |
| Occupation | Bushman |
| Next of kin | Friend, Mrs Emily Burrows, 104 Union Street, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 32nd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 96 Maunganui on |
| Embarkation details | Unit embarked from |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 36 |