| Regimental number | 66057 |
| Occupation | Jeweller |
| Next of kin | Mother, Mrs Mary S Worms, Cardwell Street New Lynn Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 19 |