| Regimental number | 3/10 |
| Occupation | Engineer |
| Next of kin | Mother, Mrs A Chambers, Egypt Road, Nottingham, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Other details | Ex Samoan Advance |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 4 |