| Regimental number | 64615 |
| Occupation | Engineer |
| Next of kin | Mother, Mrs Madeline Bradley, Te Kopuru |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 34th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on board HMNZT 100 Ulimaroa on |
| Final rank | Private |
| Final unit | New Zealand Medical Corps |
| Fate | Died of wounds |
| Place of burial | Awoingt British Cemetery (Plot II, Row A, Grave No 17), France |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Rolls Vol. 4: Roll 78, p. 19 |