| Regimental number | 69179 |
| Occupation | Plumber |
| Next of kin | Mother, Mrs E Shadwell, 14 Lawrence Street, Mornington, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 36th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Willochra on |
| Sources | Nominal Rolls Vol. 4: Roll 81, p. 7 |