| Regimental number | 21786 |
| Place of birth | Australia |
| Occupation | Miner |
| Next of kin | Sister, Mrs M A Miller, 44 Carrington Street, Leichardt, Sydney, New South Wales, Australia |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Rifle Brigade, Reinforcements, G Company (Part) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 87 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 39 |