| Regimental number | 15804 |
| Occupation | Cheesemaker |
| Next of kin | Mother, Mrs Mary Thomson, Middlemarch, Central Otago |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements (2nd Draft), Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 23 |