| Regimental number | 21121 |
| Occupation | Bushman |
| Next of kin | Father, J Van Stein, Te Karaka, Gisborne |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 11th Reinforcements to 1st and 2nd Battalions, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 64 Devon on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 30 |