| Regimental number | 56969 |
| Occupation | Carter |
| Next of kin | Wife, Mrs P Wilson, 298 High Street, Dunedin |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (Second Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 90 Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 26 |