| Regimental number | 1/764 |
| Occupation | Ironmonger |
| Next of kin | Mother, Mrs T M Scott, 23 Rocklands Avenue, off Dominion Road, Auckland |
| Rank on embarkation | Lance Sergeant |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Auckland Infantry Regiment, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ruapehu on |
| Other details | Ex Samoan Advance |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 4 |