| Regimental number | 33104 |
| Occupation | Manager |
| Next of kin | Mother, Mrs E C Bushell, 212 Kilmore Street, Christchurch |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ruapehu on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 13 |