| Regimental number | 71136 |
| Occupation | Ironworker |
| Next of kin | Mother, Mrs J C Shaw, 432A George Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 5 |