| Regimental number | 78967 |
| Occupation | Ploughman |
| Next of kin | Mother, Mrs A Carrodus, Reidston via Oamaru |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 8 |