| Regimental number | 40773 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs Ann Olive Burgess, 588 Madras Street, Christchurch |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 10 |