| Regimental number | 17125 |
| Occupation | Farrier |
| Next of kin | Nephew, Tom Pemberton, Mamie Street, Remuera, Auckland |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 21sr Reinforcements, Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on board Manuka on |
| Sources | Nominal Roll Vol. 3: Roll 53, p. 1 |