| Regimental number | 38995 |
| Occupation | Chaffcutter |
| Next of kin | Wife, Mrs Gladys Victoria Tiffen, c/o Mrs Milne, Hunter, Makikihi |
| 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 |