| Regimental number | 28963 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs A J Bothwell, Beaver Road, Blenheim |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (2nd Draft), New Zealand Rifle Brigade Details, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Athenic on |
| Sources | Nominal Roll Vol. 2: Roll 49, p. 12 |