| Regimental number | 15876 |
| Occupation | Labourer |
| Next of kin | Sister, Mrs A Hickman, Lauriston, Canterbury |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 6th Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 17 |