| Regimental number | 36500 |
| Occupation | Railway fireman |
| Next of kin | Wife, Mrs H T Ward, 67 Hastings Street, Sydenham, Christchurch |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 75 Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 30 |