| Regimental number | 53084 |
| Occupation | Caterer |
| Next of kin | Wife, Mrs H W Stacey, c/o Post Office, Feilding |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 42nd Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Harbour records indicate that the actual date of sailing was 2 August 1918. | |
| Sources | Nominal Rolls Vol. 4: Roll 88, p. 9 |