| Regimental number | 21741 |
| Occupation | Railway porter |
| Next of kin | Mother, Mrs A Slatter, 24 Stanley Street, Sydenham, Christchurch |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 13 |