| Regimental number | 40388 |
| Occupation | Butcher |
| Next of kin | Wife, Mrs A A Tolley, c/o W Gaskin Makara Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, E Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board Mokoia on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 17 |