| Regimental number | 46103 |
| Occupation | Factory assistant |
| Next of kin | Father, W A Verry, Bryant Street, Palmerston North |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 25th Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 83 Tofua on |
| Sources | Nominal Roll Vol. 3: Roll 62, p. 22 |