| Regimental number | 38991 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs K M Sullivan, North Belt, Temuka |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 78 Navua on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 12 |