| Regimental number | 54009 |
| Occupation | Farm hand |
| Next of kin | Mother, Mrs M A Clemens, Newland, via Ashburton |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (Second Draft), F Company |
| Embarkation details | Unit embarked from Wellington on board Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 68, p. 4 |