| Regimental number | 78155 |
| Occupation | Gold miner |
| Next of kin | Mother, Mrs E Samson, Post Office, Waihi |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, New Zealand Mounted Rifles, 42nd Reinforcements |
| Embarkation details | Unit embarked from Wellington on board Moeraki on |
| Sources | Nominal Rolls Vol. 4: Roll 91, p. 7 |