| Regimental number | 11763 |
| Occupation | Fireman |
| Next of kin | Uncle, George Wakefield, Dog and Pheasant Hotel, Newcastle, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 11 |