| Regimental number | 63435 |
| Occupation | Grocer's assistant |
| Next of kin | Mother, Mrs Jane Smith, 99 Main Street Mataura |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 31st and 32nd Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 96 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 39 |