| Regimental number | 53641 |
| Occupation | Storeman |
| Next of kin | Mother, Mrs Marl Elizabeth Smith, 66A Awapuni Road, Gisborne |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 88 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 68, p. 15 |