| Regimental number | 59063 |
| Place of birth | Australia |
| Occupation | Mill hand |
| Next of kin | Mother, Mrs K Simms, Teviot Street, Invercargill South |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 30th Reinforcements, Otago Infantry Company, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 93 Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 72, p. 15 |