| Regimental number | 34621 |
| Occupation | Ploughman |
| Next of kin | Mother, Mrs C W Burnett, 12 Wellington Street Linwood Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 71 Port Lyttelton on |
| Sources | Nominal Roll Vol. 2: Roll 47, p. 8 |