| Regimental number | 81247 |
| Occupation | Shepherd |
| Next of kin | Mother, Mrs J Waller, Longburn, Palmerston North |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 4 |