| Regimental number | 17378 |
| Occupation | Bushman |
| Next of kin | Mother, Mrs Burgess, 21 Burnside Street, Grove Road, Bethnal Green, London, England |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, New Zealand Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board SS Manuka on |
| Sources | Nominal Roll Vol. 2: Roll 40, p. 3 |