| Regimental number | 41643 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs M Suisted, c/o Mrs A Simons, Inaha via Hawera |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, Mounted Rifles Brigade, 26th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board HMNZT Moeraki on |
| Sources | Nominal Roll Vol. 3: Roll 64, p. 3 |