| Regimental number | 33999 |
| Occupation | Farmer |
| Next of kin | Sister, Miss Constance Evelen Anderson, c/o C A Anderson, Weld Street, Feilding |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 20 |