| Regimental number | 10917 |
| Occupation | Farm labourer |
| Next of kin | Mother, Mrs M Smith, Waitahuna, Otago |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), 1st New Zealand Cyclist Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 52 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 6 |