| Regimental number | 15633 |
| Occupation | Cook and baker |
| Next of kin | Mother, Mrs J Warren, 5 Kendal Road, Hove, Brighton, Sussex, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements (1st Draft), Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 10 |