| Regimental number | 69779 |
| Occupation | Fencer |
| Next of kin | Sister, Mrs P Cossey, c/o Post Office, Mercer |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force. 34th Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 100 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 78, p. 9 |