| Regimental number | 36681 |
| Occupation | Moulder |
| Next of kin | Wife, Mrs Sarah Simpson, 29 City Road, Roslyn, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 16 |