| Regimental number | 63715 |
| Occupation | Shunter |
| Next of kin | Wife, Mrs Jane Burrell, c/o W A Cleaver, Te Roti, Eltham, Taranaki |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 103 Maunganui on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 9 |