| Regimental number | 71164 |
| Occupation | Painter |
| Next of kin | Wife, Mrs V J Scott, Factory Road, Mosgiel |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 103 Maunganui on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 13 |