| Regimental number | 12842 |
| Occupation | Commercial traveller |
| Next of kin | Mother, Mrs M Shrimpton, 9 Grey Street, Musselburgh, Dunedin |
| Rank on embarkation | Gunner |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Willochra on 27 May 1916 |
| The Nominal Roll gives the date of embarkation as 27 May 1916; harbour records show that the actual date of embarkation was 31 May 1916. |
| Sources | Nominal Roll Vol. 2: Roll 33, p. 19 |