| Regimental number | 11216 |
| Occupation | School teacher |
| Next of kin | Mother, Mrs G Burt, 160 Earn Street, Invercargill |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimoroa on |
| Other details | Disembarked at Freemantle (Hospital). |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 12 |