| Regimental number | 49491 |
| Occupation | Chemist |
| Next of kin | Mother, Mrs Sadie Kannervischere, 20 Sydney Street, Caversham, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 26th Reinforcements (1st Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 85 Willochra on |
| Sources | Nominal Roll Vol. 3: Roll 66, p. 15 |