| Regimental number | 62806 |
| Occupation | Cleaner |
| Next of kin | Uncle, T Clarke, 45 School Lane, Kettring, Northamptonshire, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 30th Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 93 Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 72, p. 11 |