| Regimental number | 23/1796 |
| Occupation | Bank clerk |
| Next of kin | Mother, Mrs A W Samuel, The Cliff, Tauranga |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Rifle Brigade, 1915, 3rd Reinforcements of 1st Battalion, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 38 Tahiti on |
| Sources | Nominal Roll Vol. 2: Roll 15, p. 5 |