| Regimental number | 19/37 |
| Occupation | Draper |
| Next of kin | Wife, Mrs E McF Carter, Signal Street Marton |
| Rank on embarkation | Captain |
| Unit name | Samoan Relief Force, Infantry |
| Embarkation details | Unit embarked from Auckland on board SS Talune on |
| Other details | Returning to Duty |
| Sources | Nominal Rolls Vol. 4: Roll 92, p. 4 |