| Regimental number | 73368 |
| Occupation | Shepherd |
| Next of kin | Wife, Mrs M J K Scott, c/o Hospital, Denniston |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 16 |