| Regimental number | 19593 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs Katarina Samuels, Otangaroa, North Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, Maori Contingent, 15th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board HMNZT Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 38 |