| Regimental number | 79476 |
| Place of birth | Australia |
| Occupation | Shearer |
| Next of kin | Wife, Mrs H C Stacey, 38 Disraeli Street, Hawera |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 13 |