| Regimental number | 30055 |
| Occupation | Shepherd |
| Next of kin | Friend, Mrs A L Chapman, Kurow, North Otago |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements, 1st Draft, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 10 |