| Regimental number | 12136 |
| Occupation | Mattress maker |
| Next of kin | Mother, Mrs J Chisnall, 1034 Colombo Street, Christchurch |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 3rd Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 19 |