| Regimental number | 36686 |
| Occupation | Farmer |
| Next of kin | Sister, Miss Miriam Stephens, Mandeville, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 76 Aparima on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 15 |