| Regimental number | 40073 |
| Place of birth | Australia |
| Occupation | Bushman |
| Next of kin | Mother, Mrs J Scott, 23 Mary Street, St Kilda, Melbourne, Victoria, Australia |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, F Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 77 Mokoia on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 18 |