| Regimental number | 43760 |
| Occupation | Moulder |
| Next of kin | Mother, Mrs M E Burrett, Waiotahi Creek, Thames |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, Mounted Rifles Brigade, 28th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board Westralia on |
| Embarkation details | Unit embarked from Wellington on board Westralia on |
| Sources | Nominal Roll Vol. 3: Roll 64, p. 9 |