| Regimental number | 15636 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs Winifred B Williams, 31 Norwich Street, Linwood, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 14 |