| Regimental number | 1/41 |
| Occupation | Civil servant |
| Next of kin | Mother, Mrs J D Scott, 16 Driver Street, Maori Hill, Dunedin |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Other details | Ex Samaon Advance |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 6 |