| Regimental number | 29876 |
| Occupation | Grocer |
| Next of kin | Mother, Mrs C Simmons, 654 Castle Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 14 |