| Regimental number | 74122 |
| Occupation | Fitter |
| Next of kin | Mother, Mrs M F Scott, 168 Queen Street, Onehunga, Auckland |
| Rank on embarkation | Private |
| 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. 16 |