| Regimental number | 62498 |
| Occupation | Driver |
| Next of kin | Wife, Mrs A E Burgess, 69 Burnley Terrace, Kingsland, Auckland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, 31st Reinforcements, New Zealand Rifle Brigade Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 97 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 21 |