| Regimental number | 11430 |
| Occupation | Presser |
| Next of kin | Father, Percival Church, 11 Grange Street, Dunedin |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, H Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Navua on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 32 |