| Regimental number | 21617 |
| Occupation | Storeman |
| Next of kin | Mother, Mrs G Stanley, 80 Byron Street, Sydenham, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 15 |