| Regimental number | 58632 |
| Occupation | Hairdresser |
| Next of kin | Wife, Mrs F Warn, 7 Whiteleigh Avenue, Lower Riccarton, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 29th Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington, New Zealand, on board SS Ruahine on |
| Sources | Nominal Roll Vol. 3: Roll 70, p. 13 |