| Regimental number | 36496 |
| Occupation | Carpenter |
| Next of kin | Mother, Mrs Hanna Tavener, Oxford Street Timaru |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 75 Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 28 |