| Regimental number | 12746 |
| Occupation | Grocer's assistant |
| Next of kin | Mother, Mrs F Clarke, Victoria Street, Hamilton |
| Rank on embarkation | Bombardier |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| The Nominal Roll gives the date of embarkation as 27 May 1916; harbour records show that the actual date of embarkation was 31 May 1916. | |
| Sources | Nominal Roll Vol. 2: Roll 33, p. 17 |