| Regimental number | 71967 |
| Occupation | Labourer |
| Next of kin | Uncle, J C Lane, Hokowhitu, Palmerston North |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 103 Maunganui on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 7 |