| Regimental number | 74501 |
| Occupation | Carpenter |
| Next of kin | Mother, Mrs A Heasman, Laurel Villas, Grafton Road, Worthing, Sussex, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 38th Reinforcements, B Company |
| Embarkation details | Unit embarked from New Zealand on board HMNZT No 105 Remuera on |
| Sources | Nominal Rolls Vol. 4: Roll 83, p. 7 |