| Regimental number | 38249 |
| Occupation | Labourer |
| Next of kin | Aunt, Mrs Jane Roberts, 2 Marian Terrace, Ebenezer, Carnarvonshire, Wales |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, H Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Navua on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 34 |