| Regimental number | 39630 |
| Occupation | Seaman |
| Next of kin | Father, H Chapman, Gore Street, Bluff |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, F Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 77 Mokoia on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 19 |