| Regimental number | 69997 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs E Terry, Bonne Doon, Victoria, Australia |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 108 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 15 |