| Regimental number | 45621 |
| Place of birth | Australia |
| Occupation | Farmer |
| Next of kin | Friend, Mrs A Hoskins, Waimate, Canterbury |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 24th Reinforcements (2nd Draft), F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 82 Pakeha on |
| HMNZT 'Pakeha' embarked 14 April 1917; disembarked 18 April 1917; re-embarked and left New Zealand, 26 April 1917. | |
| Sources | Nominal Roll Vol. 3: Roll 60, p. 9 |